Medical Billing Specialist – WC Claims & Appeals

MARC H SHOMER MD PHD INC; Upland (CA); On-site; USD 45,000 - 65,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

401K

Paid vacation

Sick leave

Job summary

MARC H SHOMER MD PHD INC in Upland, CA is seeking an experienced medical biller for a full-time role. You will analyze payer delays, submit authorizations, manage claims and AR to ensure reimbursement.

Candidates should have at least 2 years billing experience, knowledge of ICD-10 and CPT codes, and strong communication. Bilingual preferred; schedule Monday–Friday 8am–5pm; benefits include medical, dental, 401K, vacation and sick pay.

Qualifications

• Minimum 2 years experience in Billing.
• Excellent communication skills (verbal and written).
• Knowledge of ICD-10 and CPT codes.
• Proficient with Excel.
• Credentialing experience.
• Organized and detail oriented.
• Ability to multi-task and prioritize.
• Adaptable and flexible.
• Bilingual preferred.

Responsibilities

• Contacting Insurance Companies
• Submitting Authorizations
• Answering Phone Calls
• Submitting WC Claims
• Claims follow ups
• Faxing
• Filing
• Reviewing SBs
• Auditing
• Submitting Appeal Letters
• Reviewing Chart Notes
• Coding
• Accounts Receivable
• Respond to Requests for Documents
• Ensure practice reimbursed for all services
• Daily Follow Up on all outstanding insurance claims
• Work daily rejections and denials
• Lift 22lbs or less

Skills

Billing experience

Communication skills

ICD-10 & CPT codes

Detail oriented

Multi-tasking

Prioritization

Organization

Professional

Reliable

Credentialing experience

Adaptable

Bilingual preferred

Tools

Excel

Job description

MARC H SHOMER MD PHD INC in Upland, CA is seeking an experienced medical biller for a full-time role. You will analyze payer delays, submit authorizations, manage claims and AR to ensure reimbursement.

Candidates should have at least 2 years billing experience, knowledge of ICD-10 and CPT codes, and strong communication. Bilingual preferred; schedule Monday–Friday 8am–5pm; benefits include medical, dental, 401K, vacation and sick pay.