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Job description
Medical Billing Associate IIWe are looking for a Medical Billing Associate II to support reimbursement activities for a healthcare organization in Los Angeles, California. The Medical Billing Associate II is well suited for an organized individual who can manage billing follow-up, resolve claim issues, and help improve cash recovery across patient accounts. The Medical Billing Associate II role requires strong knowledge of insurance requirements, denial resolution, and account analysis within a fast-paced, team-driven environment. This role is a hybrid role. Candidates must be able to come into the office 1 day per week.Responsibilities:• Review submitted claims for accuracy, completeness, and proper routing to the appropriate insurance payer before and after submission.• Investigate unpaid or denied claims by examining remittance details and payer correspondence, then take corrective action to move accounts toward payment.• Analyze account activity, payment posting, and billing details to identify errors, correct discrepancies, and update balances when charges were processed incorrectly.• Prepare corrected claims and formal appeals in accordance with payer-specific requirements, ensuring all required records and supporting documents are included.• Communicate with insurance carriers and related parties to resolve reimbursement obstacles, clarify claim status, and accelerate collections.• Confirm required authorizations and applicable documentation are attached to claims, and pursue retro-authorization when needed to support reimbursement.• Process or escalate charge adjustments that cannot be billed, following established approval guidelines and documentation standards.• Handle complex or escalated accounts, identify recurring billing issues, and contribute recommendations or special project support to strengthen workflow performance.• Support team effectiveness by meeting productivity and quality expectations and assisting with peer guidance or onboarding support when needed.
Worksite address
los angeles, CA, 90001, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.