Medical Biller

  • location: Costa Mesa, CA
  • type: Temp to Perm
  • salary: $40,000 - $50,000 per year
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job description

Medical Biller

Medical Billing Office seeking Full-Time Medical Biller (experienced or entry-level) with a minimum of 2 years office experience.

Responsibilities:
Manage facility, provider and member inquiries, appeals and balance billing including correspondence.

Keep clients informed of all disputes and status providing reporting as necessary.

Keep appropriate individuals informed of critical matters that may impact client retention/revenue.

Review and prioritize claims based on processing criteria, timelines, interdepartmental demands, member benefits, regulatory criteria, etc.

Evaluate and research claims depending on the medical plan design and how best to interact with clients, facilities, providers and members.

Manage a daily running inventory of claims.

Contact facilities and providers to discuss charge adjustments and rationale while obtaining signed agreements for reimbursement or adjustments when needed.

Handle member inquires in accordance to their medical plan.

Working hours: 8:00 AM - 5:00 PM

Skills:
Ability to develop/maintain long-term working relationships with providers.

Should possess a moderate to high level of claim editing, coding, RVU and CMS-based pricing knowledge with an emphasis in researching solutions for the above items as needed.

Education:
High School

Experience:
Entry Level

Qualifications:
Minimum of three years experience in a medical healthcare claims role dealing with facilities, providers and members is required.

Background in healthcare claims management environment including provider negotiation, hospital billing, claims adjudication and administration or the ability to interpret benefit plans.

One to two year(s) minimum insurance company/TPA.hospital experiences, with emphasis in claims, fee schedules, contracting, negotiating, andor external vendor relationship management preferred.


To be considered please email your resume to jesse.baldovino@randstadusa.com or call us at 949-727-3205

Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad. EEO Employer: Race, Religion, Color, National Origin, Citizenship, Sex, Sexual Orientation, Gender Identity, Age, Disability, Ancestry, Veteran Status, Genetic Information, Service in the Uniformed Services or any other classification protected by law. San Francisco Fair Chance Ordinance: Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance.
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