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Medical Billing Specialist

Folsom, CA | Temp-to-Hire Position

Post Date: 06/28/2018 Job ID: 39646.1 Industry: Healthcare/Medical
A rapidly expanding company with a focus in the healthcare industry is building their new headquarters in the Folsom area and looking to add talented individuals to their growing team. Our client is seeking Medical Billing Specialists to be a part of a newly created Billing Department. The ideal candidate will be able to work in a highly efficient and fast paced environment and be comfortable working with daily metrics and target goals. Familiarity with Medicare, Medi-Cal, and private insurances is highly desired. This is a full time, temporary to hire opportunity.

Responsibilities: Responsible for Audit of Accounts Receivable. Effective communication with providers and billing office staff. Working knowledge of Medicare, Medi-Cal, Medi-Cal GMC, Managed Care (HMO), and PPO billing rules and procedures. Audits and performs follow up on unpaid claims, includinginvestigation, calls, and appeals. Answers calls from patients and staff regarding patient account inquiries. Maintains knowledge of current coding guidelines and standards, annual updates, changes, additions, and deletions to ensure coding and billing compliance.

Requirements: One year of billing and collections experience in the healthcare industry including processing claim rejections and denials with Medicare, Medicaid, and Commercial Insurances. Working knowledge of Medicare Direct Data Entry (DDE), Ability, and Explanation of Benefits (EOB's). Detailed-oriented with strong organizational, problem solving and analytic skills. Ability to adapt to a changing working environment. Strong work ethic and capable of learning new tasks with minimal guidance.Ability to communicate professionally with agency representative and customers. Excellent quantitative, verbal, written and interpersonal skills.

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