Medical Biller/Collections Specialist
Classification: Medical Biller/Collections Specialist
Compensation: $20.00 to $25.00 hourly
Robert Half has partnered with a Federally Qualified Health Center (FQHC) in El Monte in search of a Certified Medical Biller. The Medical Biller will be the bridge between the organization and their third party vendor, with a plan to bring the revenue cycle department back in house. This contract to full-time position is available to start immediately.
Responsibilities include:
- Collecting, posting and managing account payments.
- Submitting 1500 claims and UB04 claims and following up with insurance companies for payments or denials.
- Preparing and submitting clean claims to various insurance companies’ either, electronically or by paper.
- Answering questions from patients, clerical staff and insurance companies.
- Identifying and resolving patient billing complaints.
- Preparing, reviewing and sending patient statements
- Evaluating patient’s financial status and establishes budget payment plans.
- Following up and reporting status of delinquent accounts.
- Performing various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers.
- Maintaining strictest confidentiality; adheres to all HIPAA guidelines/regulations.
- Securing needed medical documentation required or requested by insurance carriers (private insurance authorization).
- Following up with insurance carriers on unpaid claims until claims are paid or proper closure is brought to the claim.
- Performing other duties as assigned.
This position is Tuesday - Sunday from 8 am - 5 pm. We offer medical, dental, and vision insurance, 401K and tuition reimbursement.
- Knowledge of medical billing/collection practices in FQHC setting a plus.
- Knowledge of PPO and Medicare Guidelines for timely filing.
- Knowledge of medical coding and third-party operating procedures and practices.
- Knowledge of Billing and Procedures for different departments: Behavioral Health, OBGYN, Dental, Chiropractor, Cardiologist, Physical Therapy, etc. is a plus.
- Ability to establish and maintain effective working relationships with patients and employees.
- Must be well organized and detail-oriented.
- Billing And/or Collector Certification a plus.
- Experience with eClinicalWorks or a similar electronic health record preferred
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