Medical Biller – Elevance Health – Downey, CA

This position is a Hybrid where you will be required to go onsite two days each week.

Be part of an extraordinary team

We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

How you will make a difference:

Responsible for reviewing account files to ensure accuracy and completeness, maximum reimbursement, and appeal denials. Primary duties may include, but are not limited to:

• Reviews patient account files.
• Prepares and reviews billings to be submitted to primary/secondary insurance carriers and/or Medicare/MediCal.
• Collects and decreases assigned Accounts Receivable focusing on high value accounts.
• Manages and maintains third party accounts.
• Responds to patient, insurance carrier and internal and external telephone inquiries.
• Completes all denial and correspondence daily.
• Prepares and submits refund requests to insurance carriers.
• Re-bills claims when not paid properly.

Qualifications – External

Minimum Requirements:

• H.S. diploma
• Minimum of 2 years of experience in billing and appeals process in Medicare/MediCal, including medical office experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

• ICD-10 and CPT-4 coding knowledge strongly preferred.
• Strong Excel experience preferred.
• Customer service experience preferred.

Job Type: Full-time

Salary: From $19.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible schedule
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance
• Work from home

Schedule:

• 8 hour shift
• Monday to Friday

Ability to commute/relocate:

• Downey, CA 90240: Reliably commute or planning to relocate before starting work (Required)

Education:

• High school or equivalent (Required)

Experience:

• Medical billing: 2 years (Required)
• ICD-10: 1 year (Preferred)
• CPT coding: 1 year (Preferred)

Work Location: One location