Medical Billing & Collections Specialist

Ultimate Staffing

Pasadena (CA)

On-site

USD 52,000 - 78,000

Full time

2 days ago

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Job summary

Ultimate Staffing is seeking an experienced Medical Biller/Collector for our busy specialty medical practice in Pasadena. You will manage the full revenue cycle, including claims submission, posting payments, collections, benefits verification, and follow-up with accounts.

The ideal candidate has at least 2 years of medical billing/collections experience, strong knowledge of PPOs and HMOs, proficiency with EMR/EHR and billing software, and excellent communication skills in a fast-paced

Qualifications

2+ years medical billing and collections in a physician practice, specialty clinic, or healthcare setting.
Strong knowledge of PPO, HMO, and managed care insurance plans.
Experience with insurance claims follow-up, appeals, and reimbursement processes.
Understanding of medical collections and accounts receivable management.
Basic knowledge of ICD-10, CPT, and HCPCS coding.

Responsibilities

Prepare, review, and submit insurance claims to payers accurately and timely.
Follow up on unpaid, denied, or underpaid claims to maximize reimbursement.
Manage patient and insurance collections, including outstanding balances.
Verify patient insurance eligibility, benefits, authorizations, and coverage.
Post insurance and patient payments and reconcile accounts.
Investigate and resolve billing discrepancies, claim rejections, and payment variances.
Work with PPO, HMO, and other plans to ensure proper processing and reimbursement.
Communicate with insurance companies, patients, and internal staff regarding billing inquiries.
Maintain documentation of account activity and collection efforts.
Ensure compliance with HIPAA and billing policies.