Medical Biller/Eligibility Coordinator

Global Pain Care; Victorville (CA); On-site; USD 28,000 - 39,000; Full time

Benefits offered by this job

Competitive pay

Great work environment

Career advancement opportunities

Job summary

Global Pain Care is hiring a Billing & Eligibility Coordinator to verify patient insurance coverage, review benefits, and process medical claims in a fast-paced clinical setting.

Ideal candidates have prior medical billing and eligibility verification experience, strong organizational skills, and excellent communication abilities to resolve issues with insurers and staff.

Qualifications

• Experience in medical billing and eligibility verification.
• Familiarity with Medicaid/Medicare and commercial plans.
• Strong organizational skills and attention to detail.
• Excellent communication and problem-solving abilities.
• Ability to work independently and manage multiple priorities.

Responsibilities

• Verify patient insurance eligibility, coverage, and benefits before appointments.
• Confirm copays, deductibles, coinsurance, and patient responsibilities.
• Identify authorization needs and referral requirements; communicate discrepancies.
• Maintain accurate insurance data in the EHR system.
• Prepare, review, and submit medical claims to insurers; follow up on denials.

Skills

Medical billing

Insurance eligibility

EHR proficiency

HIPAA compliance

Multitasking

Tools

EHR systems

Job description

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Job Description

Job Description

Benefits/Perks

• Competitive Compensation
• Great Work Environment
• Career Advancement Opportunities

Job Summary

Global Pain Care is seeking a dependable, detail-oriented Billing & Eligibility Coordinator to join our team. The ideal candidate will have experience in medical billing, insurance eligibility verification, or both, with a good understanding of insurance requirements and reimbursement processes.

This position involves verifying patient insurance coverage, reviewing benefits, processing medical claims, resolving billing issues, and working closely with clinical and administrative staff to ensure accurate and timely reimbursement. We are looking for someone who is organized, able to manage multiple responsibilities, and comfortable working in a fast-paced medical office.

Responsibilities Insurance Eligibility & Verification

• Verify patient insurance eligibility, coverage, and benefits before scheduled appointments.
• Confirm copayments, deductibles, coinsurance, and other patient financial responsibilities.
• Identify insurance restrictions, referral requirements, and authorization needs.
• Communicate insurance discrepancies to the appropriate staff.
• Maintain accurate insurance information in the electronic health record (EHR) system.

Medical Billing & Claims

• Prepare, review, and submit medical claims to insurance carriers.
• Review claims for accuracy, including patient information, insurance details, and billing codes.
• Follow up on outstanding claims, rejected claims, and payment denials.
• Assist with payment posting, account reconciliation, and billing corrections.
• Review Explanation of Benefits (EOBs) and Electronic Remittance Advices (ERAs).
• Communicate with insurance representatives to resolve claim and reimbursement issues.
• Assist in monitoring accounts receivable and outstanding balances.
• Follow HIPAA requirements and maintain patient confidentiality.
• Perform other related duties as assigned.

Required Qualifications

• Previous experience in medical billing, insurance eligibility verification, or medical revenue cycle operations.
• Familiarity with medical insurance terminology and claims processing.
• Knowledge of Medicare, Medi-Cal, and commercial insurance plans.
• Strong organizational skills and attention to detail.
• Excellent communication and problem-solving abilities.
• Ability to work independently and manage multiple priorities.
• Proficiency with computers and electronic medical records.
• Knowledge of claim denials, appeals, and accounts receivable follow-up

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