Job Detail

Medical Biller Oceana Gastroenterology Associates Oceana Gastroenterology Associates in Lake Forest, CA 92630 $19 - $23 an hour - Full-time - Medical Billing & Coding

Date Posted: Nov 15, 2021

Job Description

Urgently hiring

Job details

$19 - $23 an hour
Job Type
Number of hires for this role


    • ICD-10: 2 years (Preferred)

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

Full Job Description

Experienced Medical Biller
Job Summary

Your primary responsibilities will include daily electronic and manual billing, manual and electronic posting of EOBs/ERAs, insurance verification, follow ups on claims, working denials, answering calls from patients and clients, reviewing accounts, collecting and posting patient and/or client payments, scanning, filing, faxing, emailing, learning and implementing office protocols, assisting your team members and completing assigned tasks. You will be trained to use our EHR software but must already be familiar with the basic functionality of EHR's, basic elements and proper use of Microsoft Office, email, fax machines, copier machines and scanners.

Responsibilities & Duties

  • Perform charge entry using ModMed GGastro and e-Clinical works billing system coding tools.
  • Collect time of service payments, reconcile and deposit time of service monies.
  • Work end of day administrative billing tasks.
  • Correct claims held by global rules and worked denied claims.
  • Ensure that NPI and payer specific numbers are maintained in the billing systems.
  • Ensure individual providers and referring providers are set up for proper billing and review provider enrollment status as needed.
  • Ensure that fee schedules are updated as needed.
  • View billing summary and patient activity on a daily basis.
  • Manage collections and create suitable payment plans.
  • Post adjustments and transfer balances when appropriate.
  • Utilize the 'statement' administration tools to create and run self-pay account worklists.
  • Run payment mismatch reports in the system and perform zero-pay review.
  • Use advanced billing worklists to search for payments by check number, track billing batches, generate a worklist and adjust claims.
  • Post unapplied credits to outstanding balances.
  • Track actions on overpaid claims, post and process insurance refunds.
  • Create report on the Athena system that summarize non-billable procedures and procedures requiring coding review.
  • Ensure that authorizations for any and all treatments have been received.
  • Keep Revenue Cycle Manager updated on any billing issues that require her knowledge and assistance.
  • Respond to any and all correspondence pertaining to outstanding insurance issues.
  • Ensure that all charges are appropriate so that the allowed amount corresponds to the charged amount.
  • Perform other duties as assigned.


  • 2-5 years experience as an insurance biller or claims examiner in the medical insurance industry.
  • Knowledge of electronic billing systems, preferably GGastro and e-Clinical works.
  • Knowledge of medical billing concepts and medical terminology.
  • Knowledge and understanding of the relationship between procedure and diagnosis compatibility to maximum reimbursement.

Required Skills

  • To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are reflective of the knowledge, skill, and/or ability required.
  • Excellent communication skills with patients, physicians, and staff
  • Excellent organizational, interpersonal and decision-making skills
  • Self-starter
  • Ability to work in a relatively unsupervised environment with a high degree of accuracy
  • Ability to operate various office equipment necessary to perform job functions
  • Team player with a pleasant attitude towards the practice of medicine

Job Type: Full-time

Pay: $19.00 - $23.00 per hour


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


  • Monday to Friday

COVID-19 considerations:
All staff fully vaccinated , social distancing and masking (by choice)


  • ICD-10: 2 years (Preferred)

Work Location: One location



Oceana Gastroenterology Associates in Lake Forest, CA 92630

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