Medical Biller and Collector Specialist - Pasadena, United States - Certified Healthcare Billing

Description

The company was founded by a group of experienced medical billers who saw a need for a billing company that could provide exceptional service to healthcare providers of all sizes.

Over the years, Certified Healthcare Billing Services has grown steadily, building a reputation for its expertise, efficiency, and dedication to its clients.

CHB is seeking a detail-oriented and experienced individual to fill the role of Medical Billing and Collections Specialist to join our esteemed team.

• Review medical bills, records, and documentation for accuracy and ensure proper coding, billing, and filing with insurance companies and government agencies
• Generate and submit claims to insurance companies and other thirdparty payers
• Ensure claims are received, processed, and paid within insurance company time frames
• Collaborate with billing and coding teams to address coding errors and resubmit claims as needed
• Review, analyze and manage aged accounts receivable reports to identify overdue balances
• Utilize indepth knowledge of medical billing codes, insurance policies, and regulations to resolve billing discrepancies and appeal denied claims as needed; contact insurance companies and thirdparty payers to follow up on unpaid claims and denials
• Communicate professionally with insurance companies, patients, and healthcare providers to address collection issues
• Contact patients to discuss outstanding balances, explain billing statements, and assist with payment arrangements
• Analyze and interpret explanation of benefits (EOB) and remittance advice for accurate account reconciliation
• Stay uptodate on healthcare billing regulations and guidelines
• Verify insurance coverage and eligibility for patients
• Process payments from insurance companies and patients
• Maintain patient confidentiality and adhere to HIPAA regulations

• Minimum of 1 year of experience in medical collections or revenue cycle management
• Strong understanding of medical terminology, DRG's CPT, HCPCS, and ICD10 coding; certification in medical billing and coding (e.g., CPC, CCS-P) preferred
• High school diploma or equivalent; associate or bachelor's degree preferred
• Proficient in medical billing software and electronic health records (EHR) systems
• Knowledge of healthcare billing regulations, including HIPAA and Medicare guidelines
• Attention to detail and accuracy in data entry, billing processes, and documentation
• Strong negotiation and communication skills
• Detailoriented with a focus on accuracy in account reconciliation
• Ability to prioritize tasks and work independently; also, collaboratively within a team when needed.
• Previous experience in a certified healthcare billing role or medical office preferred
• Demonstrates flexibility and ability to adapt to change

• 401(k)
• Health insurance
• Paid time off

• 8 hour shift
• Monday to Friday
• Weekends as needed

• Office

• ICD10: 1 year (required)

• Pasadena, CA: Relocate before starting work (required)