Medical Collections Rep

Artech Information System LLC; Carlsbad (CA); On-site; USD 40,000 - 55,000; Full time

Job summary

A leading IT staffing company in California is seeking a Medical Billing Specialist to handle collections and billing for various payers. You will review accounts for accuracy, follow up on claims, and investigate denied services. Ideal candidates should possess a strong understanding of medical coding, excellent customer service, and proficiency in Microsoft Office. A High School Diploma or equivalent experience is required, with at least two years in a related field. Join us in delivering exceptional service and administrative support.

Qualifications

• 2+ years of relevant experience in medical billing or a degree.
• Strong attention to detail and follow-through skills.
• Excellent verbal and written communication abilities.

Responsibilities

• Perform medical billing for regional and national payers.
• Review accounts for billing accuracy to maximize reimbursement.
• Investigate denied services and follow up on claims.

Skills

Working knowledge of appropriate coding systems

Proficient in Microsoft Office

Problem solving skills

Excellent customer service skills

Education

High School Diploma or Bachelor's degree

Job description

Artech is the 10th Largest IT Staffing Company in the US, according to Staffing Industry Analysts' 2012 annual report. Artech provides technical expertise to fill gaps in clients' immediate skill‑sets availability, deliver emerging technology skill‑sets, refresh existing skill base, allow for flexibility in project planning and execution phases, and provide budgeting/financial flexibility by offering contingent labor as a variable cost.

Job Description

This position will perform collections and medical billing for various regional and national payers, including Federal, State, Third Party (HMO, PPO, IPA, TPA Indemnity) and Patient Billing.

Qualified candidates must be able to

1. Review accounts for billing accuracy in order to maximize reimbursement.
2. Persuasive and tenacious follow‑up on claims status.
3. Appeal, re‑bill or forward claims for recalculation and/or adjudication as necessary.

Must possess detail knowledge of all medical benefit levels and a thorough understanding of Federal, State, and PPO, HMO, and Indemnity Plans structure.

Must meet or exceed the standard level of performance on assigned accounts.

Duties

• Data entry, correct insurance assignment to patient accounts, insurance eligibility verification. Review/update demographics and patient information for accuracy.
• Investigate all denied services to determine the reason for the service denial and appeal if appropriate.
• Review and work various reports including aging, adjustments and credit balances.
• Comply with Federal and State legislation pertaining to all billing related matters.
• Comply with all Safety, Emergency, Hazard, OSHA, HIPAA, Quality Assurance and Administrative Plans, Policies, Guidelines, Protocol, and Standards.
• Other duties as assigned.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Working knowledge of appropriate coding systems; CPT, ICD‑9 and HCPCS, coverage; LCD/NCD and reimbursement associated with such codes.
• Proficient in Microsoft Outlook, Excel, Word, the Inter and Intranet and other programs/software as necessary. Working knowledge and hands‑on experience of medical billing and reimbursement.
• Problem solving skills, using good judgment, attention to detail and follow‑through are a must.
• Excellent customer service skills; excellent verbal and written communication skills. Ability to prioritize work, multi‑task and time management skills.

Education

High School Diploma and a minimum of two years related experience or a Bachelor’s degree from a four‑year college or university; or equivalent combination of education and experience.