Job description

A busy Pain Management practice located in Emeryville, with an immediate opening, is seeking a skilled and well-organized Medical Biller/Collector. Work Comp/Commercial collections experience preferred.

MAJOR DUTIES AND RESPONSIBILITIES:

Handle Work Comp insurance & Commercial underpayments, correspondence, appeals, and aging. (Split by Alpha)

Example of Duties: (This list may not include all of the duties assigned).

· Responsible for billing, collections and reimbursement for specific patient accounts.

· Review claims for errors; make corrections as necessary.

· Appeal claims which are incorrectly processed for additional benefits. Review EOBs, prepare and send new appeals for recently denied/down-coded services.

· Prepare and send tracers on unanswered appeals and make phone calls to insurance companies in follow-up.

· Process incoming correspondence regarding balance due and updated insurance information.

· Review each account on the status aging report. If no response, present account for collections/lien to the Billing Manager for collection decision.

· Work with the Billing Manager on special projects.

· Attend billing office meetings as required.

· Engage in educational activities and seminars.

· Perform related tasks and assignments as assigned.

QUALIFICATIONS
Ideal candidate will possess:

· Minimum one year experience in healthcare office with billing experience (willing to train the right new grad)

· Candidate must have the ability to work with deadlines in a high volume practice

· Workers Compensation billing experience A+.

· Reliable

· Ability to work independently and as part of a team

· Calm professional manner; self-motivated; proactive; result driven; extremely organized & pay attention to details.

· Quick and accurate keyboarding skills

· Knowledge of Medical Terminology, ICD -10 and CPT coding

· Working knowledge of billing software (MediTab IMS software experience a plus)

· Proficiency in Microsoft Office (primarily Word and Excel) is required

· Working knowledge of OMFS and Worker's Compensation appeals and collections, A+

· Knowledge of Medicare and Medi-Cal HMO Regulations and Billing Guidelines

· Knowledge of Commercial, PPO, and HMO Regulations and Billing Guidelines

· High school diploma or GED

· Certified Professional Coder (CPC) a plus

We offer a competitive benefit package (after 90 days) including:

• Paid Time Off
• Paid Holidays
• Medical, Dental, Vision plans
• 401K

Job Type: Full-time

This Company Describes Its Culture as:

· Team-oriented -- cooperative and collaborative

Company's website:

· www.PRCMG.com

Job Type: Full-time

Pay: $24.00 - $28.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Supplemental pay types:

• Bonus pay

Experience:

• ICD-10: 2 years (Required)
• CPT Coding: 2 years (Required)
• Medical Billing: 2 years (Required)

Work Location: One location

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