Physician Billing Specialist

MemorialCare•Fountain Valley, CA

3d•Hybrid

About The Position

Review daily assigned tasks through the applications and as assigned. Contact insurance companies, other third-party payers regarding claims status and payments via telephone and written correspondence according to established standards. Respond to inquiries and correspondence from insurance companies, patient's and third party payers in a professional and timely manner. Rebill claims as necessary. Review and process denials from insurance companies, process for further review, identifying and initiating appeals as needed. Audit accounts for any necessary corrections, including updating insurance coverage information. Must have working knowledge of CPT and ICD-10 codes and payer policies. Be able to identify denial trends and report to management. Must be able to perform at or above assigned department quality. Must be able to fulfill other duties as assigned by management. Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities. Health and wellness is our passion at MemorialCare—that includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family. And there’s more... Check out our MemorialCare Benefits for more information about our Benefits and Rewards.

Requirements

Minimum two (2) years’ experience in patient account billing and collection
General computer skills, including the ability to use the internet and learn other computer applications.
General knowledge of medical terminology and ICD9 coding.
Working knowledge of general medical office procedures required.
Working knowledge of legal aspects of patient and insurance collections.
40 WPM typing
Verifiable 10 keys by touch
Good listening skills
Ability to communicate clearly and effectively.
Must have working knowledge of CPT and ICD-10 codes and payer policies.

Nice To Haves

Experience in OBGYN and Radiology/Oncology billing a plus.
Certificate of Insurance Billing preferred.

Responsibilities

Review daily assigned tasks through the applications and as assigned.
Contact insurance companies, other third-party payers regarding claims status and payments via telephone and written correspondence according to established standards.
Respond to inquiries and correspondence from insurance companies, patient's and third party payers in a professional and timely manner.
Rebill claims as necessary.
Review and process denials from insurance companies, process for further review, identifying and initiating appeals as needed.
Audit accounts for any necessary corrections, including updating insurance coverage information.
Identify denial trends and report to management.
Perform at or above assigned department quality.
Fulfill other duties as assigned by management.