Revenue Cycle Pro: Medical Billing & Collections

Ultimate LLC; Pasadena (CA); On-site; USD 42,000 - 68,000; Full time

Job summary

Ultimate LLC in Pasadena, CA is seeking an experienced Medical Biller/Collector to manage the full revenue cycle in a busy specialty practice. You will submit claims, follow up on denials, and pursue patient and insurance collections while ensuring HIPAA compliance and accurate posting of payments.

The ideal candidate has 2+ years of medical billing experience, working with PPO/HMO plans and using EMR/EHR systems.

Qualifications

• 2+ years of medical billing and collections in a physician practice or healthcare setting.
• Strong knowledge of PPO, HMO and managed care insurance plans.
• Experience with insurance follow-up, denials, and reimbursement processes.
• Understanding of ICD-10, CPT, and HCPCS coding.

Responsibilities

• Prepare, review, and submit insurance claims accurately and timely.
• Follow up on unpaid, denied, or underpaid claims to maximize reimbursement.
• Manage patient and insurance collections and reconcile accounts.
• Verify patient insurance eligibility, benefits, authorizations, and coverage details.
• Post insurance and patient payments accurately and reconcile accounts.
• Investigate and resolve billing discrepancies, claim rejections, and payment variances.
• Communicate with insurance companies, patients, and internal staff regarding billing inquiries.
• Maintain detailed documentation of account activity and collection efforts.
• Ensure compliance with HIPAA regulations and company billing policies.

Skills

Medical Billing

Accounts Receivable

HIPAA Compliance

PPO/HMO Knowledge

Tools

EMR/EHR

Billing Software

Job description

Ultimate LLC in Pasadena, CA is seeking an experienced Medical Biller/Collector to manage the full revenue cycle in a busy specialty practice. You will submit claims, follow up on denials, and pursue patient and insurance collections while ensuring HIPAA compliance and accurate posting of payments.

The ideal candidate has 2+ years of medical billing experience, working with PPO/HMO plans and using EMR/EHR systems.