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Form of workTitle: Physician Billing Specialist
Location: Fountain Valley
Department: Physician Billing - Svc Staff
Status: Fulltime
Shift: Days (8hrs shifts) Hybrid
Pay Range: $20/hr - $28.34/hr
At MemorialCare Health System, we believe in providing extraordinary healthcare to our communities and an exceptional working environment for our employees. Memorial Care stands for excellence in healthcare. Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation and teamwork.
Position Summary
Review daily assigned tasks through the applications and as assigned.
Contact insurance companies, other third-party payers regarding claims status and payments via telephone and written correspondence according to established standards. Respond to inquiries and correspondence from insurance companies, patient's ant third party payers in a professional and timely manner. Rebill claims as necessary. 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 insurance coverage information. Must have working knowledge of CPT and ICD-10 codes and payer policies. Be able to identify denial trends and report to management. Must be able to perform at or above assigned department quality. Must be able to fulfill other duties as assigned by management.
Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities. Health and wellness is our passion at MemorialCare-that includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family. And there's more...Check out our MemorialCare Benefits for more information about our Benefits and Rewards.
Experience
- Minimum two (2) years' experience in Physician Billing and collections with additional experience in OBGYN billing.
- General computer skills, including the ability to use the internet to learn other computer applications.
- Knowledge of excel, word and outlook.
- General knowledge of medical terminology, CPT Codes, and ICD-10 CM Codes.
- Must have good listening skills and the ability to communicate clearly and effectively.
Education
- High school graduate or equivalent
- Certificate of Insurance Billing
