Medical Billing & Collections Specialist - Direct Hire

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POST DATE 9/12/2016
END DATE 10/24/2016

AppleOne San Bernardino, CA

San Bernardino, CA
AJE Ref #
Job Classification
Full Time
Job Type
Company Ref #
Required Licenses/Certifications
Min Salary
Max Salary
Salary Unit
per year


Work For The Best!

Our Client Company is an industry leader in emergency health care. Employees are the best in the medical industry. Their status as the industry leader allow them to attract the highest level of talented individuals.

Comprehensive benefit package for full-time employees including Full Company Paid Life, AD&D, Short-Term and Long-Term Disability Insurance, Business Travel Accident Insurance, as well as Employee Assistance and Benefit Concierge Service Programs. Other benefits available include Health, Dental, Vision and Flexible Spending Account Benefit Plans, Voluntary Legal and Life and AD&D Insurance, 401(k) Plan, Tuition Reimbursement, Relocation Assistance.

Seeking: Medical Billing & Collections Specialist
Collections Specialist handling Government claims.
Medicare, Medical, Medicaid

- Must have experience with CMS guidelines
-Will be navigating through website and research to find allowables for refunds.
- Need to have basic math
- You'll be dealing with payers
- Checking POs claim status, you'll be taking care of accounting from beginning to finish.
-Great computer skills, you'll be navigating through different websites needing to investigate.

Required: Medicare/Medicad background.

Employer Job Description:

Prepares and submits hospital and hospital based physician claims to third party insurance carriers either electronically or by hard copy billing

Secures needed medical documentation required or requested by third party insurances

Follows-up with third party insurance carriers on unpaid claims till claims are paid or only self pay balance remains

Processes rejections by either making accounts private and generating a letter of rejection to patient or correct any billing error and resubmitting claims to third party insurance carriers

Works with physician or medical record staff to ensure that correct diagnosis procedures are reported to third party insurance carriers

Makes accounts private and notify patients when claims have not been paid after time frames in established accounts receivable policy

Keeps updates on all billing and benefit changes for third party insurance carriers

Posts third party insurance remittance vouchers

Monitors claims for missing information, authorization and control numbers Maintains confidentiality of all information

Completes work within authorized time to assure compliance with departmental standards

Keeps updated on all third party billing requirements and changes for insurance types within their area of responsibility

Demonstrates knowledge of, and support mission, vision, values statements, standards, policies and procedures, operating instructions, and confidentiality standards. We are an equal employment opportunity employer and will consider all qualified candidates without regard to disability or protected veteran status.

Job Experience:

Medical Billing, Medical Collections, Collector, Insurance Claims, Medicare, MediCal, Medicaid, medicade, medi Cal, Insurance, Medical insurance