Responsible for the accurate and timely submission of medical claims to insurance and private payors, contracted facilities and/or Medicare, Medi-Cal and all other government programs.
Conduct insurance verification and validation to ensure benefits are accurate for claim submission.
Identify and bill secondary or tertiary insurances.
Prepare, review and transmit claims electronically or via paper both timely and within compliance standards.
Daily monitoring of assigned queues for claim progression.
Perform various collection actions including handling of correspondence, EOB review, prompt research and appeal of denied claims, if necessary.
Assist and respond to insurance and patient telephone inquiries within assigned payor group.
Establish and maintain a courteous and professional attitude with all NORCAL team members, patients, payors, facilities, and management teams.
Demonstrate and support the Core Values of NORCAL Ambulance
High school diploma or equivalent required.
Minimum 1-2 years of medical billing experience.
Listening and communication skills.
Multitasker with strong attention to detail and the ability to troubleshoot and problem solve.
Excellent and professional customer service skills.
Ability to work both independently and in a within a team dynamic.
Strong knowledge of HCPCS, ICD-10 CM, medical terminology and HIPAA regulations; Medicare and Medi-Cal experience highly desirable.
Strong proficiency with Microsoft Office (Excel, Word, Outlook), 10-key, billing software and insurance portals; dual monitor workspace.
Certified Ambulance Coder certified (CAC) preferred but not required.
Bilingual is a plus, but not required.
Comprehensive benefits package, including medical, dental, and vision coverage.
Employee assistance program
Life insurance
Employee perks website-Perks at Work
401(k) retirement plan with company match.
Paid time off and holiday pay.
Opportunities for career advancement and professional development.