TruArc Health
Job Details
Job Location:
IRVINE - Irvine, CA 92618
Position Type:
Full Time
Salary Range:
$23.00 - $26.00 Hourly
Job Shift:
Day
MVML, Inc. is seeking a detail-oriented Medical Biller to join our dynamic team. As a Medical Biller, you will play a crucial role in ensuring the accurate and timely processing of medical claims, facilitating efficient reimbursement, and maintaining compliance with healthcare regulations. You will work closely with healthcare providers, insurance companies, and patients to manage the billing and revenue cycle, contributing to the financial health of our organization.
Duties & Responsibilities
Review high volume of claims to ensure they meet billing guidelines.
Submit high volume of electronic claims accurately and timely.
Submit claims to secondary insurance with appropriate supporting documents.
Ensure claims are paid according to fee schedule.
Effectively review EOB denials and underpayments to determine best course of action (resubmission/appeals).
Track and manage unbilled claims due to missing information.
Post insurance payments accurately and timely.
Review and approve Electronic Remittance Advice (ERA).
Perform follow ups and obtain claims status through insurance portals and over the phone.
Perform verification of benefits and obtain authorizations when required.
Maintain productivity and quality levels set by management.
Perform additional duties as assigned by management.
Adheres to all HIPAA and PHI guidelines.
Qualifications
1+ years of medical billing experience is required.
Strong knowledge of medical terminology, CPT codes, ICD-10 codes, and modifiers.
Experience working with EMR systems and clearinghouses.
Experience with commercial insurance, Medicare, and Medi-cal.
Experience with AdvancedMD preferred.
Experience with PrognoCIS, OfficeAlly, Epic, Conexem, Dr. Chrono a plus.
Strong knowledge of EOBs and ERAs.
Strong knowledge of timely filing limits.
Excellent communication and analytical skills.
Attention to detail and strong organizational skills.
Toxicology billing experience a plus.
Medical billing certification a plus.
Coding experience a plus.
Condition of Employment This job description in no way states or implies that these are the only duties to be performed by the employee(s) incumbent in this position. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by any person authorized to give instructions or assignments. All duties and responsibilities are essential functions and requirements and are subject to possible modification to reasonably accommodate individuals with disabilities. To perform this job successfully, the incumbents will possess the skills, aptitudes, and abilities to perform each duty proficiently. Some requirements may exclude individuals who pose a direct threat or significant risk to the health or safety of themselves or others. The requirements listed in this document are the minimum levels of knowledge, skills, or abilities. This document does not create an employment contract, implied or otherwise, other than an “at will” relationship.
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IRVINE - Irvine, CA 92618
Position Type:
Full Time
Salary Range:
$23.00 - $26.00 Hourly
Job Shift:
Day
MVML, Inc. is seeking a detail-oriented Medical Biller to join our dynamic team. As a Medical Biller, you will play a crucial role in ensuring the accurate and timely processing of medical claims, facilitating efficient reimbursement, and maintaining compliance with healthcare regulations. You will work closely with healthcare providers, insurance companies, and patients to manage the billing and revenue cycle, contributing to the financial health of our organization.
Duties & Responsibilities
Review high volume of claims to ensure they meet billing guidelines.
Submit high volume of electronic claims accurately and timely.
Submit claims to secondary insurance with appropriate supporting documents.
Ensure claims are paid according to fee schedule.
Effectively review EOB denials and underpayments to determine best course of action (resubmission/appeals).
Track and manage unbilled claims due to missing information.
Post insurance payments accurately and timely.
Review and approve Electronic Remittance Advice (ERA).
Perform follow ups and obtain claims status through insurance portals and over the phone.
Perform verification of benefits and obtain authorizations when required.
Maintain productivity and quality levels set by management.
Perform additional duties as assigned by management.
Adheres to all HIPAA and PHI guidelines.
Qualifications
1+ years of medical billing experience is required.
Strong knowledge of medical terminology, CPT codes, ICD-10 codes, and modifiers.
Experience working with EMR systems and clearinghouses.
Experience with commercial insurance, Medicare, and Medi-cal.
Experience with AdvancedMD preferred.
Experience with PrognoCIS, OfficeAlly, Epic, Conexem, Dr. Chrono a plus.
Strong knowledge of EOBs and ERAs.
Strong knowledge of timely filing limits.
Excellent communication and analytical skills.
Attention to detail and strong organizational skills.
Toxicology billing experience a plus.
Medical billing certification a plus.
Coding experience a plus.
Condition of Employment This job description in no way states or implies that these are the only duties to be performed by the employee(s) incumbent in this position. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by any person authorized to give instructions or assignments. All duties and responsibilities are essential functions and requirements and are subject to possible modification to reasonably accommodate individuals with disabilities. To perform this job successfully, the incumbents will possess the skills, aptitudes, and abilities to perform each duty proficiently. Some requirements may exclude individuals who pose a direct threat or significant risk to the health or safety of themselves or others. The requirements listed in this document are the minimum levels of knowledge, skills, or abilities. This document does not create an employment contract, implied or otherwise, other than an “at will” relationship.
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