Medical Insurance Billing Representative
Los Angeles, CA Los Angeles, CA Full-time Full-time Up to $24 an hour Up to $24 an hour 11 days ago 11 days ago 11 days ago USCB America is 100% employee owned company.
We are direct hire and offer full-time positions.
We offer benefits such as:
medical, dental, vision, life insurance, PTO, sick pay, holiday pay and 401(k) with company match! Based in our Downtown Los Angeles office.
Remote and in the office as needed.
Pay is hourly and depends on experience.
GENERAL SUMMARY Performs various accounts receivable activities for major hospital clientele.
Places outbound telephone calls and accurately documents all information pertaining to client's account utilizing PC based applications.
Aids in working on unresolved patient accounts to determine the appropriate action necessary to resolve open balances.
KEY RESPONSIBILITIES ? Responsible for obtaining payment of claims from Contracted, Commercial and Manage Care Plans by following the the contract expected reimbursement amounts.
? Consistently follow up on unpaid, under paid and denied claims utilizing monthly aging reports, filing appeals and establish/maintain strong relationships with providers, clients and fellow staff.
? Investigate insurance denials and identify issues then take best action to get claim paid.
? Understands and adheres to each insurance carrier's claim submission guidelines.
? Determines need for payer appeal and sends appeal with all necessary documentation.
? Monitors appeals outcomes and determines is second or third level appeals are warranted.
? Access denied claims from the worklist and queries claim status with the payor, utilizing all appropriate systems, websites to effectively research claim and resubmit or appeal as necessary.
? Makes necessary arrangements for medical records requests, completion of additional information requests etc.
as requested by insurance companies to ensure timely resolution of outstanding denied/unpaid claims ? Operates a PC, relevant applications / software, telephone, fax and copier.
? Maintains compliance with FDCPA and HIPAA requirements.
? Achieves the determined production and quality expectations.
? Demonstrates attention to detail.
KNOWLEDGE, SKILL, & ABILITY REQUIREMENTS ? 2
years experience in the medical billing and follow up within the healthcare industry.
? Knowledge of medical terminology, coding, standard hospital operations and financial services preferred but not required.
? Knowledge of cash postings, billing, follow up, insurance registration, authorization management and claim denials.
? Possesses and demonstrates professional telephone demeanor and appearance.
? Demonstrates the ability to work in a fast-paced environment; can multi-task and work independently as well as with a team.
? Displays the ability to keyboard 30 wpm; is proficient in Word, Excel and Outlook.
? While performing the duties of this job, the employee is regularly required to sit for extended periods of time in front of a computer monitor.
? Possesses a high school diploma or equivalent.
? Certificate in medical billing & coding or equivalent preferred.
? Must successfully pass a criminal history screening.
Job Type:
Full-time Pay:
Up to $24.
00 per hour
Benefits:
401(k) 401(k) matching Dental insurance Health insurance Life insurance Paid time off Vision insurance Schedule:
8 hour shift Monday to Friday Work Location:
In person 401(k) 401(k) matching Dental insurance Health insurance Life insurance Paid time off Vision insurance 8 hour shift Monday to Friday.
Estimated Salary: $20 to $28 per hour based on qualifications.
We are direct hire and offer full-time positions.
We offer benefits such as:
medical, dental, vision, life insurance, PTO, sick pay, holiday pay and 401(k) with company match! Based in our Downtown Los Angeles office.
Remote and in the office as needed.
Pay is hourly and depends on experience.
GENERAL SUMMARY Performs various accounts receivable activities for major hospital clientele.
Places outbound telephone calls and accurately documents all information pertaining to client's account utilizing PC based applications.
Aids in working on unresolved patient accounts to determine the appropriate action necessary to resolve open balances.
KEY RESPONSIBILITIES ? Responsible for obtaining payment of claims from Contracted, Commercial and Manage Care Plans by following the the contract expected reimbursement amounts.
? Consistently follow up on unpaid, under paid and denied claims utilizing monthly aging reports, filing appeals and establish/maintain strong relationships with providers, clients and fellow staff.
? Investigate insurance denials and identify issues then take best action to get claim paid.
? Understands and adheres to each insurance carrier's claim submission guidelines.
? Determines need for payer appeal and sends appeal with all necessary documentation.
? Monitors appeals outcomes and determines is second or third level appeals are warranted.
? Access denied claims from the worklist and queries claim status with the payor, utilizing all appropriate systems, websites to effectively research claim and resubmit or appeal as necessary.
? Makes necessary arrangements for medical records requests, completion of additional information requests etc.
as requested by insurance companies to ensure timely resolution of outstanding denied/unpaid claims ? Operates a PC, relevant applications / software, telephone, fax and copier.
? Maintains compliance with FDCPA and HIPAA requirements.
? Achieves the determined production and quality expectations.
? Demonstrates attention to detail.
KNOWLEDGE, SKILL, & ABILITY REQUIREMENTS ? 2
years experience in the medical billing and follow up within the healthcare industry.
? Knowledge of medical terminology, coding, standard hospital operations and financial services preferred but not required.
? Knowledge of cash postings, billing, follow up, insurance registration, authorization management and claim denials.
? Possesses and demonstrates professional telephone demeanor and appearance.
? Demonstrates the ability to work in a fast-paced environment; can multi-task and work independently as well as with a team.
? Displays the ability to keyboard 30 wpm; is proficient in Word, Excel and Outlook.
? While performing the duties of this job, the employee is regularly required to sit for extended periods of time in front of a computer monitor.
? Possesses a high school diploma or equivalent.
? Certificate in medical billing & coding or equivalent preferred.
? Must successfully pass a criminal history screening.
Job Type:
Full-time Pay:
Up to $24.
00 per hour
Benefits:
401(k) 401(k) matching Dental insurance Health insurance Life insurance Paid time off Vision insurance Schedule:
8 hour shift Monday to Friday Work Location:
In person 401(k) 401(k) matching Dental insurance Health insurance Life insurance Paid time off Vision insurance 8 hour shift Monday to Friday.
Estimated Salary: $20 to $28 per hour based on qualifications.
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