Medical Biller

GetixHealth; Phoenix (AZ); Remote; USD 40,000 - 55,000; Full time

Job summary

A leading company in the healthcare billing sector is seeking a detail-oriented Billing Specialist. The role involves accurate billing, understanding medical codes, and ensuring compliance with federal and state regulations. Candidates should possess strong communication skills and the ability to work in a fast-paced, multi-tasking environment. This position offers the flexibility of remote work.

Qualifications

• Previous Med-Cal billing experience preferred.
• Local and/or state certifications a plus, ex: CPAR, CPAT.

Responsibilities

• Accurate and timely billing of UB04 and HCFA forms.
• Review claim rejections to determine recurring billing errors.
• Documenting accurate notes on corresponding systems.

Skills

Interpersonal Skills

Communication

Organization

Multi-tasking

Typing

Education

High School Diploma

Tools

Word Processing

Spreadsheet Programs

Job description

• Accurate and timely billing of UB04 and HCFA forms.
• Understanding CPTs, ICD9 and HCPC codes, modifier coding and the correct usage of modifiers.
• Documenting accurate and appropriate notes on corresponding systems as needed
• Maintains knowledge of payer requirements and practices
• Understands and follows all federal, state, and local payer-billing requirements.
• Ability to access and interpret member eligibility from InstaMed or other eligibility sources
• Ability to review revenue codes to determine correct diagnosis for billing correct Medi-Cal payor.
• Understanding of basic medical terminology.
• Bill claims to third parties accurately and expeditiously via electronic transmission billing system
• Review and correct edited claims according to all applicable standards and compliance guidelines.
• Review claim rejections to determine recurring billing errors and report to management.
• Provide thorough, efficient, and accurate documentation and updates in all required systems for each work event.
• Identify claim status and take the appropriate steps to solve the problem in an expeditious manner.
• Responsible for meeting goals and quality standards through efficient and accurate work processes.
• Knowledge, understanding, and compliance with all applicable federal, state, and local laws and regulations relating to job duties.
• Knowledge, understanding, and compliance with company policies and procedures.
• Provide feedback to management concerning possible problems or areas of improvement.
• Make recommendations to implement improved processes.
• Perform other duties as assigned by management.

Requirements

• High School Diploma or General Educational Development (GED) certificate or equivalent relevant work experience desired.
• Previous Med-Cal billing experience preferred.
• Understanding of health insurance providers, Medicare, Medicaid
• Local and / or state certifications a plus, ex : CPAR, CPAT, etc.
• Ability to type at least 40 words per minute, use 10-key by touch
• Knowledge of word processing and spreadsheet computer programs.
• Excellent interpersonal, written, and oral communication skills.
• Ability to work in a team fostered environment.
• Ability to work in a multi-tasked environment.
• Ability to prioritize and organize work.
• Work at Home / Remote
• Ability to lift and / or move 20 pounds with or without accommodation.