About this opportunity
American Family Care lists this Medical Billing Specialist opportunity in ladera ranch, California. Review the employer’s description below for duties, qualifications and application requirements.
Job description
Medical Practice Billing Specialist
American Family Care (AFC) is one of the largest primary and urgent care companies in the U.S. providing services seven days a week on a walk-in basis. Our state-of-the-art centers focus on the episodic treatment of acute illnesses and injuries, workers' compensation, and occupational medicine. Each location is equipped with an onsite lab and in-house x-ray capability. AFC is the parent company of AFC Franchising, LLC (AFCF). This position works directly with a franchised business location. The specific job duties and benefits can vary between franchises.
Candidates Must Have:
At least 2 years of experience in medical practice billing with exposure to working with denials, appeals, insurance collections, and related follow-up
Working knowledge of Local and National Coverage Determinations and payor policies, and how to use them
Must have ICD-10 and CPT coding assessment skills, CPC certification is preferred
Strong proficiency in MS Office applications (Word, Excel, PowerPoint), and computerized billing systems is required.
A patient-first, mission-oriented mindset
Duties:
Organize and prioritize all incoming claims and denials.
Evaluate medical claims and coverage policy documentation to determine validity for an appeal.
Responsible for ensuring and monitoring the effectuation of all decisions as a result of the follow-up of unpaid/denied claims with insurance carriers.
Responsible for adhering to health care billing procedures, documentation, regulations, payment cycles, and standards.
Work accounts to resolution.
Collection from patients and insurances.
Works collaboratively and effectively with all other departments and functions to maximize operational efficiency and service and ensure consistency in addressing appeals issues.
Work independently to identify and resolve complex client problems.
Work with leadership to develop appropriate policies and procedures.
Maintain current knowledge of healthcare billing laws, rules and regulations, and developments.
Comply with all applicable HIPAA policies and procedures and maintain confidentiality.
Compensation: $18.00 - $23.00 per hour
American Family Care has pioneered the concept of convenient, patient-centric healthcare. Today, with more than 250 clinics and 800 in-network physicians caring for over 6 million patients a year, AFC is the nation's leading provider of urgent care, accessible primary care, and occupational medicine. Ranked by Inc. magazine as one of the fastest-growing companies in the U.S., AFC's stated mission is to provide the best healthcare possible, in a kind and caring environment, while respecting the rights of all patients, in an economical manner, at times and locations convenient to the patient.
If you are looking for an opportunity where you can make a difference in the lives of others, join us on our mission. We invite you to grow with us and experience for yourself the satisfying and fulfilling work that the healthcare industry provides.
We are an Equal Opportunity Employer.
Worksite address
ladera ranch, CA, 92694, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.