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Job description
Medical Collections SpecialistWe are seeking an experienced Medical Collections Specialist to process and follow up on physician claims from various payer types (HMO, PPO, Medi-Cal, Medicare, etc.) to ensure timely payment for services rendered.Duties:Review and analyze medical documentation and patient records for accurate and timely billing entry; assign or reassign appropriate medical codes (ICD-10, CPT, HCPC) for diagnoses, procedures, and services rendered.Follow up with payers (HMO, PPO, Medi-Cal, Medicare, etc.) on unpaid or denied claims and resubmit as necessary.Process payments from insurance companies and patients.Maintain accurate and up-to-date patient billing records.Answer patient inquiries regarding billing and insurance coverage.Work A/R aging reports and collaborate with insurance companies to identify and correct coding/billing errors.Write and submit appeals to insurance companies, as needed.Experience:3-4 years of experience in medical revenue cycle management, including collections experience.MUST have experience using EHR system, experience with EPIC is a plusProficiency in medical terminology, knowledge of ICD-10 and CPT codes, and medical collection procedures and practices.Familiarity with the full collections cycle, including re-bills, code corrections, aging reports, and appeals.Expertise with HMO, PPO, Medi-Cal, and MedicareNote: This is not an entry-level position. Prior experience in medical billing/collections is required.Schedule:Monday to Friday (7:00 am - 3:30 pm OR 7:30 am - 4:00 pm)Work Site:Newport Beach/John Wayne Airport Area - Must be able to work onsite 100% during temp period.Benefits after Temp to Hire Period:Health insurance coverageRetirement plan options with a matchGenerous Paid Time Off (PTO) and paid holidaysHybrid - 2 days in office
Worksite address
newport coast, CA, 92657, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.