Billing Admin - Medical Office

Job Description

* Conduct collection calls and/or correspondence in a fast-paced goal-oriented collections department.
* Manage claims collections (not patient collections)
* Provide customer service regarding collection issues (as applicable according to client contracts)
* Ability to differentiate the difference between in and out of network
* Resolve insurance discrepancies and short payments
* Contact and inquire with insurance companies for collection
* Identify issues or trending and provide suggestions for resolution.
* Review the account information and necessary system applications to determine the next appropriate work activity. Accurately and thoroughly documents the pertinent collection activity performed
* Perform appropriate billing functions, including manual re-bills as well as electronic submission to payers. Edit claims to meet and satisfy billing compliance guidelines for electronic submission.
* Manage and maintain desk inventory, complete reports, and resolve high priority and aged inventory.
* Document in detail problem/action/ and follow up with insurance companies until claim paid
* Possess working knowledge of Explanation of Benefits (EOB's)
* Responsible for monitoring and maintaining assigned accounts
* Accountable for reducing delinquency for assigned accounts
* Verification of Refund Requests and Medical Records requests
* Initiate and resolve Appeals for many different insurance payers
* Respond timely to emails and telephone messages as appropriate. Communicate issues to management, including payer, system or escalated account issues
* Perform additional duties as requested by Supervisor or Management team

All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.

Salary : $22 - $24