Immediate need for a talented
Medi-Cal Billing Specialist. This is a
06+months contract opportunity with long-term potential and is located in
Pomona, CA(Onsite). Please review the job description below and contact me ASAP if you are interested.
Job ID:26-35027
Pay Range: $23 - $25/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
Key Responsibilities:- Review hospital accounts receivable (A/R) aging reports and prioritize collection activities
- Contact insurance carriers to follow up on outstanding balances and resolve claim-related issues
- Perform follow-up on institutional claims, specifically UB-04 billing
- Investigate denied, rejected, and underpaid claims and submit appeals when necessary
- Identify claim discrepancies, payment variances, and reimbursement issues
- Verify patient insurance eligibility and coverage through insurance portals, payer websites, and customer service representatives
- Work with billing teams and other departments to resolve claim discrepancies and billing issues
- Maintain accurate documentation of collection activities, payer communications, and claim updates in hospital billing systems
- Ensure compliance with HIPAA requirements, hospital policies, and applicable state and federal regulations
Key Requirements and Technology Experience:- 1-3 years of experience in hospital accounts receivable, medical billing, or healthcare collections
- Knowledge of hospital billing processes and reimbursement methodologies
- Familiarity with CPT and ICD coding and DRG reimbursement
- Experience with Medi-Cal, Medicare, and commercial insurance payer guidelines
- Knowledge of institutional billing and UB-04 claims follow-up
- Experience contacting insurance companies for claim status, payment issues, and collections
- Familiarity with insurance eligibility verification through online portals and payer websites
- Proficiency in hospital billing systems and Microsoft Office
- Strong verbal and written communication skills
- Excellent attention to detail, analytical, and problem-solving abilities
- Minimum Education Required: High School Diploma or GED
Our client is a leading
Healthcare staffing Industry, and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.
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