Commercial Insurance Specialist

AHMC Healthcare • Riverside, CA

3d

About The Position

Performs various clerical billing and follow up functions, but not limited to items listed in the Performance Criteria. Responsibilities include complying with hospital and federal policies and guidelines in the billing and collection of claims. Reviews payor contracts to ensure correct contractual adjustments are posted as per individual payor agreement.

Requirements

• High school diploma or equivalent.
• CPT-4, HCPCs, DRG, ICD-9 coding knowledge.
• Minimum 2 years Medicare MediCal billing and follow up experience in a hospital setting.

Responsibilities

• Comply with hospital and federal policies and guidelines in the billing and collection of claims.
• Reviews payor contracts to ensure correct contractual adjustments are posted as per individual payor agreement.

What This Job Offers

• Career Level: Mid Level
• Education Level: High school or GED