Job Detail

Biller - Choice Medical Group - Apple Valley, CA 92307 - Medical Billing & Coding

Date Posted: Jan 10, 2022

Job Description

Job details

Salary
$16 - $21 an hour
Job Type
Full-time
Number of hires for this role
On-going need to fill this role

Qualifications

    • ICD-10: 1 year (Preferred)

    • Medical billing: 5 years (Preferred)

Benefits
Pulled from the full job description
Disability insurance
Health insurance
Dental insurance
401(k)
Paid time off
Employee assistance program
Vision insurance
401(k) matching
Life insurance

Full Job Description

JOB SUMMARY

Under the supervision of the Clinical Director and Billing Manager, the medical biller is responsible for accurately inputting incoming referrals into the computer system and prepare for further processing

QUALIFICATIONS

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform essential functions.

Knowledge of :

  • ICD-9/ ICD-10, HCPCS and CPT coding
  • Federal and state healthcare mandates and regulations
  • Company policies and procedures
  • Microsoft office applications and spreadsheets
  • General front office procedures and skills
  • Office machines; facsimile, copier, scanner, computer programs
  • Electronic Medical Records/EHR systems

Ability to:
Problem-solve

Prioritize with excellent organizational skills, responding to multiple demands and timeliness

Demonstrate professional written and verbal communication skills and presentation skills using the English language

Demonstrate ability to respond to common inquiries from patients, customers, vendors, regulatory agencies, health plans or member of the business community and possess excellent customer service skills

Twist, turn and utilize reaching motion, ability to sit and/or stand for extended periods of time

EDUCATION and/or EXPERIENCE

High school diploma and one (1) year related experience and/or training; or equivalent combination of education and experience.

No less than 5 years of medical billing

CERTIFICATES, LICENSES, REGISTRATIONS

None.

SKILLS

Able to work independently. Has knowledge of industry standards and expectations. Has knowledge of commonly used concepts, practices and procedures within this field. Excellent verbal and written skills. Computer literate with knowledge of Excel/Word. Relies on experience and judgment to plan and accomplish goals. Performs a variety of tasks. Able to verify a variety of standard and/or complex patient data. Knowledge of medical terminology preferred. Excellent telephone skills

Able to verify a variety of standard and/or complex coded or un-coded statistical source data. Knowledge of medical terminology and ICD9/ICD-10 codes. Able to type 40+ words per minute.

Bill new claims and confirm proper submission of claims while maintaining claim filing reports and filing procedures

Ensure denied claims are evaluated, analyzed, appealed, and resubmitted with sufficient support to receive the maximum allowable payment amount

Review insurance payments to ensure proper reimbursements according to contracted rates

Accurately post payments and allocate balances owed

Ensure applicable out of pocket maximums, deductibles and/or co-pays are properly applied to patient accounts

Bill secondary insurance payors

  • Entering patient demographics and insurance information
  • Verifying patient eligibility and benefits for upfront collection on unmet deductibles and co-insurance
  • Enter charges accurately according to insurance payors/contracts
  • Submitting clean claims by attaching necessary documentation for payment
  • Follow-up on electronic claims and paper claims
  • Posting insurance payments to patient accounts
  • Submit all secondary claims when necessary
  • Refund money owed to patient or insurances
  • Conducts self in a manner that reflects a positive representation of the company, and encourages others to do the same.
  • Observes strict patient confidentiality in dealing with patients.
  • All other duties as assigned

As an Equal opportunity employer, DBA Choice Medical Group is committed to a diverse workforce. Employment decisions regarding recruitment and selection will be made without discrimination based on race, color, religion, national origin gender, age sexual orientation, physical or mental disability, genetic information or characteristic, gender identity, and expression, veteran status, or other non-job related characteristics or other prohibited grounds specified in applicable federal, state and local laws. In order to ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Era Veterans’ Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact this post for assistance.

For more information about equal employment opportunity protections, please view the ‘EEO is the Law’ poster.

NOTICE: EMPLOYEE POLYGRAPH PROTECTION ACT

YOUR RIGHTS UNDER THE FAMILY AND MEDICAL LEAVE ACT

PAY TRANSPARENCY NONDISCRIMINATION PROVISION

Our environment respects individual differences and recognizes each employee as an integral member of our company. Our workforce reflects these values and celebrates the individuals who make up our growing team.

Choice Medical Group provides a work environment free of harassment and prohibited conduct. We promote and support individual differences and diversity of thoughts and opinion.

Job Type: Full-time

Pay: $16.00 - $21.00 per hour

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Disability insurance
  • Employee assistance program
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Schedule:

  • 8 hour shift
  • Monday to Friday

Experience:

  • ICD-10: 1 year (Preferred)
  • Medical billing: 5 years (Preferred)

Work Location: One location

 
 

Location

18857 Outer Hwy 18 South, Apple Valley, CA 92307


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