Medical Biller

Victory Oncology; California; Hybrid; USD 45,000 - 55,000; Full time

Benefits offered by this job

401(k)

401(k) matching

Dental insurance

Health insurance

Paid time off

Job summary

A healthcare provider in Sherman Oaks, CA is seeking a well-organized Medical Billing Specialist. Responsibilities include verifying patient insurance eligibility, handling electronic billing, and maintaining compliance with CPT, HCPCS, and ICD coding systems. The ideal candidate should have strong communication skills and experience in medical billing processes. Benefits include 401(k), health insurance, and paid time off. Candidates must be able to relocate before starting work.

Qualifications

• Strong knowledge of electronic billing and financial administration.
• Maintaining current knowledge of CPT, HCPCS, and ICD coding systems.
• Experience in medical billing processes including charge entry and claim follow-up.

Responsibilities

• Collect insurance information and verify patient eligibility.
• Submit claims to third-party payers accurately and timely.
• Maintain compliance with HIPAA and OSHA standards.
• Resolve patient complaints per policies and procedures.

Skills

Professional communication skills

Knowledge of CPT, HCPCS and ICD coding

Experience in medical billing processes

Strong knowledge of electronic billing

Job description

Overview

Victory Hematology and Oncology has a Medical Billing Specialist position available for a well-organized and knowledgeable Medical Billing and Coding Specialist with a Hematology and Oncology practice in Sherman Oaks, California.

Responsibilities

• Professional communication speaking and writing skills
• Maintains HIPPA and OSHA compliance
• Strong knowledge of electronic billing and financial administration to handle budgets and billing, collections, payables, resubmissions, appeals, and posting payment.
• Maintaining current knowledge of CPT, HCPCS and ICD coding systems (including ICD-10), including the appropriate application of procedure code modifiers and NCCI edits
• Collect insurance information, verify patient\'s insurance eligibility, and pre-authorizations
• Assist with clinical staff for pre-authorizations
• Gathering and organizing all necessary data from physicians, hospitals and/or ancillary personnel, determining billing codes and calculating rates
• Verifying that CPT, HCPCS and ICD-9 (ICD-10) codes submitted to third-party payers are an accurate representation of the home health care services rendered by the provider(s)
• Ensure accurate and timely submission of claims submitted to third-party payers. Posting coded services to the appropriate patient account(s) in the software system
• Maintain effective communication with service providers, clients, and other ancillary personnel
• Has experience in medical billing processes including charge entry, payment posting and claim follow-up and extensive knowledge of Medicare, HMO, local IPAs, and PPO carriers
• Administrative duties related to credentialing and/or accreditation
• Administrative operations of the clinic at billing related issues, training, and counseling clinical staff regarding billing related issues
• Effectively work with clinical staff as a team
• Ability to continue education at work and learn from senior billing specialists and other clinical staff
• Handles and resolves patients\' complaints/grievances as per policies and procedures

For considerations, please remit your resume. We are an equal opportunity employer.

Principals only. Recruiters, please don\'t contact this job poster. Do NOT contact us with unsolicited services or offers

Job Types

• Full-time

Benefits

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Paid time off

Ability to Commute

• Sherman Oaks, CA 91403 (Required)

Ability to Relocate

• Sherman Oaks, CA 91403: Relocate before starting work (Required)