Medical Billing Representative

Well established medical Institute in Newport Beach invites you to join our team as a Billing Specialist. This exciting in-office, full-time opportunity offers learning and growth within the company for a caring professional who would like to develop his/her skills and knowledge in healthcare while making a difference in patients lives.
Positive attitude, self-motivation, and a desire for personal growth are requirements for this position. This person will be responsible for collecting, posting and managing account payment and submitting claims and following up with insurance companies.
We offer competitive compensation packages including but not limited to the following:

• Commission
• Healthcare, Dental, Vision, Chiropractic
• Accident, Life Term, Hospital, Critical Illness & Cancer, Disability
• Paid Time Off (starting at 40 hours)
• Sick Leave (24 hours each year)
• Flexible Work Schedule
• Paid Holidays
• Retention Bonus
• Retirement Contribution match 4%

Overall responsibility:

Supports a variety of billing functions with main responsibilities focused on insurance eligibility, obtaining authorizations, billing, coding, claim processing, claims follow up, and collections. Other duties may include:

• Prepare, review and transmit claims using billing software, including electronic and paper claim processing
• Follow up on unpaid claims within standard billing cycle timeframe.
• Call insurance companies regarding any discrepancy in payments if necessary.
• Process denials and appeals.
• Identify and bill secondary or tertiary insurances.
• Set up patient payment plans and work collection accounts.
• Update spreadsheets and run required reports.
• Respond to low-level patient phone calls as needed
• Respect and maintain privacy and dignity of patients consistent with HIPAA guidelines/regulations: assure patient confidentiality at all times.

Education:

• High school diploma required.
• Knowledge of business and accounting processes usually obtained from an Associate's Degree, with a degree in Business Administration, Accounting, or Health Care Administration preferred.
• A minimum of two-years experience in soft-collections and/or biller within a medical office setting preferred

Proficiency in the following areas:

• Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, Workers Comp and other payer requirements and systems.
• Competent use of computer systems, software, and generating reports.
• Knowledge of eClinicalWorks a plus
• Familiarity with CPT and ICD-10 Coding helpful
• Effective collections with a soft, but stern, approach in collecting past due payments.
• Effective communication abilities for phone contacts with insurance payers to resolve issues.
• Customer service skills for interacting with patients regarding medical claims and payments.
• Ability to work well in a team environment. Being able to triage priorities and handle conflict in a reasonable fashion.
• Problem-solving skills with a calm manner and patience working with either patients or insurers during this process

Hours between Monday through Friday 7:00-6:00