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Insight Global

Medical Billing and Collections Specialist (No Surprises Act)

san diego, CA

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Job description

Job Description

Provides administrative support in the billing and collections function of the medical revenue cycle process. Prepares new charges, completes insurance verification, maintains patient records, and is responsible for collecting on outstanding accounts receivable.

Obtain needed and or corrected information by contacting the patient, physician's office, hospital, next of kin, insurance carrier, etc.

Verify all patient information uploaded is accurate.

Activate and bill patients within the billing system.

Maintains the database by entering, updating, and retrieving data, as well as formatting and generating reports.

Assists in resolution of outstanding accounts receivable problems from past due accounts.

Responds to inquiries from customers or external collection resources.

Places calls and sends messages to those with unresolved issues.

Understands and maintains all governmental, regulatory and company billing and compliance regulations and policies for payers

Follows-up with payers, patients, and other appropriate parties to collect open billings in a timely manner

Identifies and reports to management any payer issues with regards to billing and collections

Reviews, analyzes, and reconciles initial Accounts Receivable and Order Entry exceptions and discrepancies to provide accurate invoicing and prompt payment

Performs other duties as assigned

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy:

Skills and Requirements

1 - 2 years of related experience (billing, medical equipment billing, home health care billing, or collections experience)

High school diploma or equivalent required

Experience handling 90 billing cases per day

Experience doing collections for 25-30 accounts per day

General requirements:

High level of quality awareness, accuracy, and attention to detail

Strong communication, organizational, and problem-solving skills

Data-oriented with basic proficiency in MS Office Applications, strong analytical skills, and the ability to create detailed reports

Sense of urgency and customer-oriented mindset with an understanding of Health Insurance Portability and Accountability Act (HIPAA) compliance and Protected Health Information (PHI)

Ability to work independently, multitask and handle various priorities in a fast-paced environment - Insurance Billing/Collections experience

Facilities/Hospital Billing/Collections experience

Patient Billing and Collections experience

Insurance verifications/cash posting experience

CareVoyant experience, Waystar

Experience with Payer portals

Worksite address

san diego, CA, 92189, US

Who can apply

Review the original listing for work authorization, qualifications and employer requirements.

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