Job Description:
- Posting Charges: Maintain accurate billing records and transaction logs.
- Claims Submission: Process and submit claims to insurance providers for reimbursement.
- Denial Resolution: Investigate and resolve denied claims to ensure maximum reimbursement.
- Compliance & Reviews: Conduct Medicare and Medi-Cal reviews for accuracy.
- Audit Management: Perform billing audits to maintain compliance and efficiency.
- Report & Program Management: Maintain billing-related programs and generate financial reports.
Qualifications:
- 1–3 years of experience in medical billing, claims processing, or healthcare reimbursement.
- Strong knowledge of Medicare, Medi-Cal, and private insurance billing procedures.
- Experience with billing software and electronic claims submission.
- Proficiency in ICD-10 coding, CPT codes, and medical terminology.
- Excellent attention to detail and ability to work independently.
- Strong problem-solving skills to resolve claims and denial issues.
- Knowledge of compliance regulations related to healthcare billing.
- Ability to meet deadlines in a fast-paced environment.