Billing and Collections Liaison

About us

We are an expanding urgent care network with 13 locations across Orange County. Our aim is to cultivate a dynamic work atmosphere that fosters teamwork, while allowing individuals to maintain autonomy over their roles and inspiring creativity. We are looking for an individual that is driven, has a strong work ethic and is highly motivated.

Summary:

The Urgent Care Billing and Coding Liaison is responsible for ensuring accurate and timely billing and coding processes within the urgent care facilities. This role serves as a bridge between clinical staff, third-party billing company, and coding specialists to facilitate efficient revenue cycle management.

Duties:

• Collaborate with clinic Leads and Area Managers to gather necessary information for accurate billing of services rendered in the urgent care facility.
• Provide support to the third-party billing company at the account level as required.
• Review EOBs, remits, and payer correspondence during account follow-up, escalating identified issues for prompt resolution.
• From time to time, input and verify patient demographics and eligibility.
• Investigate and resolve claim denials by identifying root causes, and correcting errors.
• Research patient & insurance inquiries called into the billing office.
• Evaluate patient accounts and resolve outstanding balances, identifying and escalating problem accounts as necessary.
• Provide training and support to clinical staff on documentation requirements and billing practices to promote accurate billing practices.
• Communicate with payors, conducting timely follow-ups through direct phone calls.
• Prepare effective appeals for various denials, including contract underpayments, billing issues, and payor errors.
• Stay informed about payer policies and contract rates, resolving accounts with discrepancies to ensure payment compliance.
• Identify patterns, trends, and root causes in collections workflow and payer performance, reporting findings to management for strategic decision-making.
• Update accounts with proper documentation actions taken to secure payment and resolve issues.
• Collaborate with patients and guarantors to address payer requests and discrepancies, facilitating the prompt resolution of pending claims.
• Assist management in completing special accounts receivable projects as needed.
• Perform other assigned duties and functions.

Requirements:

• Minimum of 3 years of coding experience.
• Understanding of networks, IPAs, HMOs, PPOs, PCPs, and contract affiliations.
• Strong knowledge of Claims and EOBs.
• Experience in analyzing coded data and presenting findings.
• High level of professionalism and effective communication skills for interaction with physicians, patients, and executives.
• Ability to complete projects with minimal management intervention.
• Knowledge of collection techniques and laws.
• Team-oriented with effective written and verbal communication skills.
• Analytical skills and knowledge of healthcare billing.
• Experience with Windows-based applications, including Excel, Word, Outlook, and Teams.
• Knowledge of the eClinical Works or Allscripts EMR system is a plus

Job Type: Full-time

Pay: $25.00 - $28.00 per hour

Expected hours: 40 per week

Benefits:

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

Education:

• High school or equivalent (Preferred)

Experience:

• CPT coding: 2 years (Required)
• Medical collection: 2 years (Required)
• Claims and EOBs: 2 years (Required)
• IPAs, HMOs, PPOs, PCPs: 2 years (Required)

Ability to Relocate:

• Anaheim, CA 92804: Relocate before starting work (Required)

Work Location: In person

Salary : $25 - $28