Medical Biller

Resourcing Edge; Mountain View (CA); On-site; USD 60,000 - 75,000; Full time

Job summary

Resourcing Edge in Mountain View, CA seeks a Medical Biller to oversee the billing workflow, ensure accurate documentation, and support ICD-10, CPT, HCPCS coding, and NCCI edits and the Appeals process. You will prepare and review monthly reports and collaborate with staff to resolve discrepancies.

The ideal candidate will have at least one year of healthcare billing experience, strong computer skills, and exceptional attention to detail to ensure timely, accurate billing and smooth denial

Qualifications

• Requires understanding of ICD-10, CPT, and HCPCS coding.
• Familiarity with NCCI edits and the Appeals process.
• Experience with medical billing in a healthcare setting preferred.

Responsibilities

• Research the physician's charge information needed to complete billing process.
• Code information about procedures performed and diagnosis on charge.
• Enter charge information into online entry program and produce billing.
• Process and distribute copies of billings according to office policies.
• Establish and recommend credit and collection policies.
• Follow up on accounts until balances are resolved or sent to collections.
• Assist with coding and error resolution, making adjustments to accounts as needed.
• Assist in processing of insurance claims, including MediCal/MediCare.
• Prepare disability claims in a timely manner.

Skills

Attention to detail

Excellent computer skills

ICD-10

CPT coding

HCPCS coding

NCCI edits

Appeals process

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

Job responsibilities include, but are not limited to, the following:

• 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