Job Detail

Physician Billing Specialist MemorialCare Medical Foundation 9920 Talbert Ave, Fountain Valley, CA 92708 Full-time - Medical Billing & Coding

Date Posted: Dec 06, 2021

Job Description

Job details

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Full Job Description

Physician Billing Specialist - (MEM005584)

Job summary:
The Physician Billing Specialist is responsible for managing accounts receivables and perform work log/work queue tasks according to set standards and productivity measurements.
Duties & Responsibilities:
  • Provide professional and courteous service to all customers
  • Communicate effectively in written and verbal form
  • Maintain clean, well-organized, properly stocked and secure working area
  • Maintain complete patient/employer confidentiality at all times per company and HIPAA requirements
  • Perform job functions in accordance with current departmental Standards, Polices and Procedures
  • Demonstrate teamwork by assisting coworkers with tasks/training as directed, and attending and participating in mandatory meetings
  • Accommodates changes in workload within the department
  • Keep supervisor informed when problems may interfere with work being completed on time
  • Use initiative to resolve problems with appropriate action and follow through
  • Review daily assigned tasks through the applications and as assigned according to department goals.
  • Contact insurance companies, patients, and other third party payers regarding claims status and payment, via telephone and written correspondence according to established standards.
  • Respond to inquiries and correspondence from insurance companies, patients, and other third party payers in a professional and timely manner.
  • Refile/rebill claims as necessary, ensuring that all information contained on the claim is accurate and complete.
  • 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 coverage information.
  • Maintain working knowledge of current procedural terminology, diagnosis codes, and insurance payer policies.
  • Provide phone coverage for customer service related calls as needed.
  • Works with patients to resolve outstanding insurance and/or patient balances according to set standards and policies. This includes preparing accounts for collection.
  • Set up payment plans with patients and follow up on all payment plans implemented.
  • Performs at or above the assigned department quality and productivity standard

Experience & Qualifications:
  • Minimum two (2) years’ experience in patient account billing and collections.
  • 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 key by touch
  • Must have good listening skills and the ability to communicate clearly and effectively.
  • Prior experience with orthopedic surgery preferred
  • Prior experience with EPIC system also preferred
  • High school graduate or GED equivalent.
  • Certificate of Insurance Billing preferred.


9920 Talbert Ave, Fountain Valley, CA 92708

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