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Medical Biller/AR Collections job in Fresno at Hire Up Staffing

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Medical Biller/AR Collections at Hire Up Staffing

Medical Biller/AR Collections

Hire Up Staffing Fresno, CA Seasonal / Temp
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Hire Up Staffing is currently in search of Medical Biller/AR Collection candidates! 



What does a Medical Biller/AR Collections candidate do?

  • The Medical Biller/Collector will perform insurance collections and billing for various regional and national payers, including Federal, State, Third Party (HMO, PPO, IPA, TPA Indemnity) and Patient Billing.

  • The Medical Biller Collector will review accounts for billing accuracy in order to maximize reimbursement.

  • The Medical Biller Collector will be tenacious follow-up on claims status, appeal, and re-bill or forward claims for recalculation and / or adjudication as necessary.

  • This person must possess detail knowledge of all medical benefit levels and a have a thorough understanding of Federal, State, and PPO, HMO, and Indemnity Plans structure.

  • As the Medical Biller/Collector you must have at least 2+ years of medical billing experience.




Essential Duties and Responsibilities


  • Data entry, correct insurance assignment to patient accounts, insurance eligibility verification. Review/update demographics and patient information for accuracy.

  • Working knowledge of appropriate coding systems; CPT, ICD-9/10 and HCPCS, coverage; LCD/NCD and reimbursement associated with such codes.

  • Processing, validation of payer requests and processed claims via correspondence, remittance advice and EOBs (i.e., identification of payment discrepancies, inappropriate requests)

  • Investigate all denied services to determine the reason for the service denial, appeal, if appropriate. Identify, report root causes associated with denials

  • Timely, effective processing of assigned appeals including development, submission, tracking, reporting and evaluation of appeal outcomes (i.e., next steps, improved outcomes)






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Job Snapshot

Employee Type

Seasonal / Temp

Location

Fresno, CA

Job Type

Other

Experience

Not Specified

Date Posted

01/09/2023

Job ID

24381
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