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SalaryJob Description
Medical Billing AR Specialist
Physician Reimbursement
(Remote/Southern CA Residents)
Description
Outstanding opportunity with major Southern CA-based health system providing Medical Billing and Reimbursement Support to multi-specialty physician group.
ZIPH
Physician Reimbursement
(Remote/Southern CA Residents)
Description
Outstanding opportunity with major Southern CA-based health system providing Medical Billing and Reimbursement Support to multi-specialty physician group.
- Create and draft appeals based on coding and medical necessity
- Contact insurance companies, and other third-party payers regarding claims status and payment, via telephone and written correspondence according to established standards.
- Respond to inquiries and correspondence from insurance companies, patients, and other third-party payers in a professional and timely manner.
- Re-file and re-bill claims as necessary, ensuring that all information contained on the claim is accurate and complete.
- Review and process denials from insurance companies, process for further review, identifying and initiating appeals as needed.
- Audit accounts for any necessary corrections, including updating coverage information.
- Maintain working knowledge of current procedural terminology, diagnosis codes, and insurance payer policies.
- Provide professional and courteous service to all customers
- Communicate effectively in written and verbal form
- Maintain complete patient/employer confidentiality at all times per company and HIPAA requirements
- Minimum two (2) years' experience in Physician billing and collections required
- Experience coding and collecting on multi-speciality Physician claims required
- Experience with physician OB/GYN, Orthopedic and Vascular claims highly preferred
- Proficiency in Medicare, Medicare Advantage and Commercial Payors and their guidelines required
- General knowledge of medical terminology and ICD-9/ICD-10 coding
- Experience using NextGen and EPIC systems highly preferred
- MS Office proficiency required
- High school graduate or GED equivalent required
- Full-Time, Hybrid Position
ZIPH
