Rancho Mirage, CA
30+ days ago


Clinic Billing Services
Full Time,Day,8 Hour Shift
  • Job Objective: A brief overview of the position.
    • The position is responsible for maintaining AR at a payer level.
  • Reports to
    • Director of Clinic Billing
  • Supervises
    • N/a
  • Ages of Patients
    • N/a
  • Blood Borne Pathogens
    • Minimal/ No Potential
  • Qualifications
    • Education
    • Licensure/Certification
    • Experience
      • Required: Two to Four years of claims review, billing or processing in a Medical Office setting or Insurance processing center.
      • Preferred: Three to five years of medical billing experience with emphasis claim follow appeals and or adjudication.
  • Essential Responsibilities
    • Demonstrates compliance with Code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and report suspected violations.
    • Manages accounts by contacting payer to determine status and if additional information is required
    • Assigns follow up per policy.
    • Resolves all balances due.
    • Identifies credit balance accounts and forwards for review and processing per policy.
    • Works all accounts in a follow up status as per policy.
    • Processes and responds to correspondence in FIFO order per policy.
    • Documents pending and resolved status and resolution of all accounts in system
    • Appeals incorrect and underpayments.
    • Coordinates with HIM for documentation requests
    • Responsible for posting zero pay, EOB’s, delays, denial, patient co pays and/or deductibles.
    • Performs other duties as assigned.