Medical, Clinical & VeterinaryClinical Support & Patient Administration
About the job
Requirements
A high school diploma or GED equivalent is required.
At least 2 years of billing experience is required.
Prior outpatient hospital and physician billing experience is required.
Knowledge of Medi-Cal, managed care, and HMO/PPO processes and billing guidelines is required.
Knowledge of CPT, ICD-9, ICD-10, modifiers, surgical procedure codes, and revenue codes is required.
Knowledge of medical claims follow-up is required.
Knowledge of Medicare Part A and B is required.
Knowledge of using insurance websites to check claim status is required.
Proficiency in Microsoft Office is required.
Typing speed of 30 words per minute is required.
Employees must protect the privacy of confidential protected health information in accordance with company policies and applicable state and federal law, including the HIPAA Security and Privacy Rule.
Responsibilities
Bill accounts according to established policies and procedures within required time frames.
Bill hospital, physician, outpatient, Medi-Cal, managed care, HMO/PPO, and out-of-state Medicaid claims.
Follow up on outpatient Medi-Cal, managed care, HMO/PPO, and out-of-state Medicaid claims.
Verify insurance payment accuracy and assign payment posting codes.
Resolve outstanding accounts receivable from available reimbursement sources according to established policies and procedures.
Meet billing standards defined by the established billing timeliness policy.
Perform other related duties as required.
Desired Qualifications
A certificate in Medical Billing and Coding or a related field is helpful.
Description
Health Advocates is seeking a Medical Biller I for our main office in Chatsworth, CA.
Job Summary
The Biller is responsible for achieving billing standards as defined by the established billing timeliness policy. The Biller is also responsible for the timely resolution of outstanding accounts receivable due from all available sources of reimbursement according to established policies and procedures. Job duties include: bill accounts according to established policies and procedures within time frames, responsible for billing Hospital, Physician, Outpatient, Medi-Cal, Managed Care, HMO/PPO and out of state Medicaid claims, follow up on Outpatient Medi-Cal, Managed Care, HMO/PPO and out of state Medicaid claims, verify Insurance payment accuracy and assigning payment posting code, and perform miscellaneous related duties, as required.
Qualifications
· High School diploma or GED equivalent required; Medical Billing and Coding or related certificate helpful
· Minimum of 2 years experience in Billing required
· Prior out-patient hospital and physician billing experience
· Knowledge of Medi-Cal, Managed Care and HMO/PPO process and billing guidelines
· Knowledge of CPT, ICD9, ICD10 Codes, Modifiers. Surgical Procedure Codes and Revenue Codes
· Knowledge of medical claims follow-up required
· Knowledge of Medicare Part A and B
· Knowledge of utilizing Insurance websites for claim status
· Ability to work independently and as part of a team
· Proficient in Microsoft Office
· Type 30 wpm
Working Title: Biller I
Pay Rate: $21.75 - $28.00 per hour (Depending on Relevant Experience)
Position Type: Full-time; Non-Exempt
Schedule: Alternative Work Week Schedule – Mon – Thurs 7:30am – 5:00pm & Fri 7:30am – 12:30pm
Other: We conduct assessment testing and post offer background checks
Benefits
Health Advocates offers a comprehensive benefits package to meet the needs of today's employees. They include: Healthcare and Insurance Benefits, Retirement Benefits, Employee Discounts, Employee Assistance Program, Rideshare Incentives, Employee Referral Program, Vacation/Holiday/Sick Leave and other time off.
About Us
Founded in 1990, Health Advocates is the largest privately funded public advocacy company in California providing Eligibility and Recovery services to California public health systems, private hospitals, clinics, health plans, government agencies, and individuals. We are dedicated to identifying medical coverage from third-party sources such as Medi-Cal, Social Security (SSI/SSDI), and other health insurance programs to minimize uncompensated care to the benefit of both our clients and the patients and applicants they serve. Our success is born from a very unique blend of resources, expertise, and an unwavering determination to identify coverage and recovery solutions on behalf of patients that simply have no ability to pay their increasing financial healthcare debts. Innovation and compassion are integral to Health Advocates’ identity and these attributes have historically served our clients very well. We are proud of our past, excited about our future, and confident of our continued success.
This position requires access to confidential protected health information (PHI). Our employees are expected to protect the privacy of all PHI in accordance with Health Advocates’ privacy policies and procedures and as required by state and federal law including but not limited to the HIPAA Security and Privacy Rule.
Health Advocates
21540 Plummer Street, Suite B
Chatsworth, CA 91311
(818) 995-9500 p
(818) 995-6872 f
Health Advocates is an equal opportunity employer. We believe all of our employees should be treated fairly, consistently, and with dignity and respect. Our goal is to maintain a satisfied and productive team of employees. The keys to reaching that goal are effective leadership, fair and competitive wages and benefits, dedication to the job, and close attention to employee relations matters.
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