Medical Biller- Hospital Services

LCMC Health; Irvine (CA); In loco; USD 42.000 - 64.000; Tempo pieno

Descrizione del lavoro

LCMC Health in Irvine, CA is seeking a Biller Associate to manage timely submission of hospital claims and navigate complex payer requirements. You will service Medicare, Medicaid, and commercial payors, ensuring accurate processing and minimizing patient financial burden.

This role emphasizes trust, confidentiality, and adherence to HIPAA in daily activities. You will review electronic claims, correct errors, monitor denials, and collaborate with patient accounting to improve accuracy and

Competenze

• 1 year of experience in healthcare billing, collections, payment processing, and denial management.

Mansioni

• Submit hospital claims electronically and review daily claims.
• Correct claim errors and resubmit to payers.
• Monitor claim rejections and report trends.
• Coordinate medical record requests as needed.
• Ensure compliance with HIPAA and billing regulations.
• Collaborate with staff to improve processes and accuracy.
• Adhere to mission and values.

Conoscenze

Healthcare billing

Denial management

HIPAA compliance

Customer service

Formazione

High School diploma

Strumenti

Billing software

Descrizione del lavoro

Your job is more than a job

Maintaining the financial health of our community of hospitals and providers, while supporting patients in understanding and managing their healthcare expenses is an essential responsibility of a Biller Associate. You’re a vital liaison for billing activities related to Medicare, Medicaid, and all third-party payors. As you navigate complex billing and insurance requirements, your knowledge of insurance plans, government healthcare programs, and private insurers shines through as does your respect for patient confidentiality and their hard-earned dollars.

You’re not resolving bills. It’s a trust-building thing among providers, patients, and insurance payors as they look to you for expertise and guidance. You love being that go-to person because, in your heart, you realize that you make a difference by ensuring that their claims are processed accurately, and potential financial burdens are minimized. We love the way you think.

Your experiences, knowledge, skills, empathy, team mentality, and your “little something extra” all add up to you. And we’re excited to get to know you and find out what you’ll bring to this medical biller role.

Your Everyday

• Maintain responsibility of the timely submission of all hospital claims assigned.

• Work daily electronic billing file and submits insurance claims to third-party payers; reviews daily edit reports from the hospital billing system and makes necessary corrections to allow electronic submission.

• Review error reports from electronic payers; identifies errors and makes appropriate corrections to ensure accurate claim submission.

• Monitor claim rejections for trends and issues and reports findings to supervisor.

• Prepare and submit manual insurance claims to third-party payers who do not accept electronic claims or who require special handling.

• Coordinate medical record requests as needed.

• Document billing activity on the patient account; ensures hospital compliance with all state and federal billing regulations and report any suspected compliance issues to the billing manager and/or Supervisor.

• Work with supervision, management, and the patient accounting staff to improve processes, increase accuracy, create efficiencies, and achieve the overall goals of the department.

• Observe best practice processes in billing, follow-up, and customer service activities.

• Act in accordance with LCMC’s mission and values, while serving as a role model for ethical behavior.

• Adhere to federal and state regulations related to the protection of patient information (e.g., the Health Insurance Portability and Accountability Act (HIPAA) as well as facility‑specific guidelines.

The Must-Haves

Minimum:

• High School Diploma / GED or equivalent.

• 1 year of experience in healthcare billing, collections, payment processing, and denial management.

WORK SHIFT:

Days (United States of America)

LCMC Health is a community.

Our people make health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little “come on in” attitude is the foundation of LCMC Health’s culture of everyday extraordinary

Your extras

• Deliver healthcare with heart.
• Give people a reason to smile.
• Put a little love in your work.
• Be honest and real, but with compassion.
• Bring some lagniappe into everything you do.
• Forget one‑size‑fits‑all, think one‑of‑a‑kind care.
• See opportunities, not problems – it’s all about perspective.
• Cheerlead ideas, differences, and each other.
• Love what makes you, you - because we do

You are welcome here.

LCMC Health is an equal opportunity employer. All qualified applicants receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law.

The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of all duties and responsibilities. LCMC Health reserves the right to amend and change responsibilities to meet organizational needs as necessary.