Medical Billing Representative

San Diego Cardiac Center Medical Group•San Diego, CA

14d

About The Position

The Medical Billing Representative will be responsible for miscellaneous daily functions in the medical billing office. Reliability with high attention to detail and organizational skills is needed for this position. The ideal candidate is someone who takes pride in their everyday tasks, can function effectively as part of a team, as well as being able to work independently.

Requirements

Thorough understanding of the revenue cycle process for physician billing
Possess intermediate skills in Microsoft Office (Word, Excel)
Ability to learn billing systems
Ability to communicate in a clear and professional manner
Must possess good oral and written skills
Strong interpersonal skills
Ability to make sound decisions
Familiar with terms such as HMO, PPO, IPA and Capitation
Understanding/ability to read an EOB
Intermediate understanding of HCFA 1500 forms.
Ability to problem solve, prioritize duties and follow through completely with assigned tasks.
2-3 years of medical claims and/or collections experience

Nice To Haves

Cardiology experience preferred

Responsibilities

Thorough appropriate account review on billed claims, contact third-party payors for status and resolution
Requests additional information from physician offices, patients, and others as needed to resolve payor requests
Identify billing or coding issues and request re-bills, secondary billing, or corrected bills as needed
Updates patient demographics as needed and correct plan IDs
Posts appropriate follow-up notes/status to accounts
Written appeals and corrections to third-party payors as needed
Recognizes repetitive errors and delays with payors and escalates payment delays/ problems accounts timely to manager
Perform collection efforts on delinquent patient accounts
Perform special projects and other duties as needed
Ensures compliance with State and Federal Laws Regulations
Maintain the strictest confidentiality; adhere to all HIPAA guidelines/regulations
Assist other Billing Representatives and Management with a variety of other daily tasks
Respond to email, EHR messages/tasks throughout the day
Be a team player: Identify how you might assist fellow team members
Always represent SDCC and its staff and Providers in a professional, courteous, and respectful manner on or off the property