Job Description

Description
Seeking an experienced Medical Biller to support the full revenue cycle by ensuring accurate claim submission, timely reimbursement, and effective follow-up with insurance carriers. The ideal candidate will have strong knowledge of medical billing processes, payer guidelines, and denial resolution in a fast-paced outpatient healthcare environment.

Key Responsibilities

+ Submit electronic and paper claims accurately and in a timely manner.

+ Review claims for completeness and billing accuracy prior to submission.

+ Follow up with commercial insurance, Medicare, Medi-Cal, Workers' Compensation, and PPO/HMO payers on unpaid or denied claims.

+ Research, appeal, and resolve claim denials and payment discrepancies.

+ Post insurance and patient payments, adjustments, and contractual write-offs.

+ Verify patient insurance eligibility and benefits as needed.

+ Reconcile accounts and maintain accurate patien...

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