Medical Billing Specialist – Pain & Rehabilitative Consultants Medical Group – Emeryville, CA

A busy Pain Management practice located in Emeryville, with an immediate opening, is seeking a skilled and well-organized Medical Biller/Collector. Work Comp/Commercial collections experience preferred.

MAJOR DUTIES AND RESPONSIBILITIES:

Handle Work Comp insurance & Commercial underpayments, correspondence, appeals, and aging. (Split by Alpha)

Example of Duties: (This list may not include all of the duties assigned).

· Responsible for billing, collections, and reimbursement for specific patient accounts.
· Review claims for errors; make corrections as necessary.
· Appeal claims which are incorrectly processed for additional benefits. Review EOBs, prepare and send new appeals for recently denied/down-coded services.
· Prepare and send tracers on unanswered appeals and make phone calls to insurance companies in follow-up.
-Identify, follow, and resolve patient billing complaints and notify the patient or responsible party of the outcome.
-Process incoming insurance payment and correspondence regarding balance due. Handle claims suspended for further information; claims rejected for incorrect subscriber information. Billing patients for deductibles for non-covered items.
· Process incoming correspondence regarding balance due and updated insurance information.
– Review each account on the status aging report. Send collections letters and contact patients with overdue accounts. If no response, present account for collections to the Billing Manager for collection decision. Process collection and bad debt adjustments.
· Review each account on the status aging report. If no response, present account for collections/lien to the Billing Manager for collection decision.
-Send SBR appeals for denials and/or underpayments from WC insurance
-File DOR/Lien for Workers Compensation
· Work with the Billing Manager on special projects.
· Attend billing office meetings as required.
· Engage in educational activities and seminars.
– Answer incoming telephone calls
· Perform related tasks and assignments as assigned.
-Perform Outstanding Customer Service.

QUALIFICATIONS
Ideal candidate will possess:

· Minimum one year experience in healthcare office with billing experience (willing to train the right new grad)

· Candidate must have the ability to work with deadlines in a high volume practice

· Workers Compensation billing experience A+.

· Reliable

· Ability to work independently and as part of a team

· Calm professional manner; self-motivated; proactive; result driven; extremely organized & pay attention to details.

· Quick and accurate keyboarding skills

· Knowledge of Medical Terminology, ICD -10 and CPT coding

· Working knowledge of billing software (MediTab IMS software experience a plus)

· Proficiency in Microsoft Office (primarily Word and Excel) is required

· Working knowledge of OMFS and Worker’s Compensation appeals and collections, A+

· Knowledge of Medicare and Medi-Cal HMO Regulations and Billing Guidelines

· Knowledge of Commercial, PPO, and HMO Regulations and Billing Guidelines

· High school diploma or GED

· Certified Professional Coder (CPC) a plus

We offer a competitive benefit package (after 90 days) including:

• Paid Time Off
• Paid Holidays
• Medical, Dental, Vision plans
• Sign on Bonus
• 401K

Job Type: Full-time

This Company Describes Its Culture as:

· Team-oriented — cooperative and collaborative

Company’s website:

· www.PRCMG.com

Job Type: Full-time

Pay: $23.00 – $28.00 per hour

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Supplemental Pay:

COVID-19 considerations:
All staff and patients are required to wear a mask, common surfaces are sanitized regularly.

Experience:

• ICD-10: 2 years (Preferred)
• CPT Coding: 2 years (Preferred)
• Medical Billing: 2 years (Preferred)

Work Location: One location