Medical Biller/Coder

Prime Healthcare•Redding, CA

23h•Onsite

About The Position

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Shasta Regional Medical Group, affiliated with Shasta Regional Medical Center, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

Requirements

Previous Billing Experience within a Clinic/Medical Group Business Office Required
Experience with EMR/Practice Management billing software required
Knowledge of medical terminology
Effective written and verbal communication skills
Ability to prioritize needs to meet required timelines
Analytical and problem-solving skills
Customer Services experience required
High School Graduate or GED Equivalent Required (effective 4/1/14 for all new hires)

Nice To Haves

Previous experience with government programs and collections preferred
Experience with Rural Healthcare billing preferred

Responsibilities

Submitting claims to the appropriate intermediaries and ensuring that procedures and charges are coded in compliance with all payers including Medi-Cal and/or Medicare regulations.
Obtaining required authorizations necessary for the processing and payment of claims.
Follow-up and denial management as necessary for final resolution.
Identifying the various types of diagnosis and procedures codes (ICD10, CPT, HCPCS, DRG) as they relate to reimbursement.
Communicating clearly and efficiently by phone and in person with clients and staff members.
Maintaining productivity standards and reports.
Obtaining updated demographic information and all necessary information needed to comply with the various Government Programs billing requirements.
Operating computer to input follow up notes and retrieve collection and patient information.
Maintaining proficiency in Medical Terminology.