Medical Biller

JMA Human Resource Management; Greenbrae Boardwalk (CA); On-site; USD 40,000 - 55,000; Full time

Job summary

A healthcare billing service provider in Greenbrae is seeking a Medical Biller to oversee billing operations. The ideal candidate should have knowledge of ICD-10, CPT, and HCPC coding, along with strong computer skills. Responsibilities include processing medical billing, coding, and resolving payment issues. A minimum of one year of experience in healthcare billing is preferred.

Qualifications

• Strong understanding of billing practices in healthcare.
• Familiarity with insurance claims processing.
• One year of experience in a healthcare organization preferred.

Responsibilities

• Research charge information to complete billing.
• Code procedures and diagnoses accurately.
• Key charge information into entry program.
• Process and distribute billing copies.
• Establish credit and collection policies.
• Follow up on accounts until resolved.
• Assist in coding and error resolution.
• Process insurance claims, including MediCal/MediCare.
• Prepare disability claims timely.

Skills

ICD-10 coding

CPT coding

HCPC coding

NCCI edits knowledge

Attention to detail

Computer skills

Job description

Medical Billers have oversight of the billing department and are responsible for ensuring that documentation is prepared appropriately. Applicants must have excellent computer skills and strong attention-to-detail as monthly reports will be required. We are looking for a strong candidate who understands ICD-10, CPT, HCPC coding, and has a firm knowledge of NCCI edits and the Appeals process.

Responsibilities

• Researching the physician's charge information needed to complete billing process
• Coding information about procedures performed and diagnosis on charge
• Keying charge information into online entry program and producing billing
• Processing and distributing copies of billings according to office policies
• Establishing and recommending credit and collection policies
• Participating with other staff to follow up on accounts until no balance or turned over for collection
• Assisting with coding and error resolution, making adjustments to accounts as needed
• Assisting in the processing of insurance claims, including MediCal/MediCare
• Preparing disability claims in a timely manner

Experience

• One year billing experience in a healthcare organization preferred
• Experience with Workers' Comp, Medicare, MediCal, HMO, PPO, EPO, Tricare, BC/BS