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7 Medical Billing Specialist Jobs in Rancho Mirage, CA

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Maxonic
Rancho Mirage, CA | Full Time
$64k-83k (estimate)
5 Days Ago
RemX
Rancho Mirage, CA | Full Time
$43k-50k (estimate)
1 Day Ago
intellectt
Rancho Mirage, CA | Contractor
$45k-53k (estimate)
4 Weeks Ago
RemX - Accounting & Finance Staffing
Rancho Mirage, CA | Full Time
$45k-53k (estimate)
2 Weeks Ago
Systemart
Rancho Mirage, CA | Contractor
$45k-53k (estimate)
3 Weeks Ago
Datasoft Technologies
Rancho Mirage, CA | Contractor
$74k-96k (estimate)
3 Weeks Ago
Robert Half
Rancho Mirage, CA | Per Diem
$43k-52k (estimate)
2 Months Ago
Medical Billing Specialist
$45k-53k (estimate)
Full Time 2 Weeks Ago
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RemX - Accounting & Finance Staffing is Hiring a Medical Billing Specialist Near Rancho Mirage, CA

Job DescriptionWe are seeking a dedicated and detail-oriented Claims Denial and Appeals Specialist. This role is responsible for researching and resolving claim denials, handling ADR requests and certifications, submitting and tracking appeals, identifying trends, and generating monthly reports. The specialist will respond to audit requests (including RAC) from payors, maintain a comprehensive library of payer reference material regarding requirements for pre-authorization, medical necessity, and documentation, and collaborate with Revenue Cycle stakeholders to share insights on denials and opportunities for preventing future denials.
Qualifications:Education:
  • Required: High School diploma or equivalent
  • Preferred: Associate degree
Licensure/Certification:
  • Preferred: Certified coder or currently enrolled in a coding program
Experience:
  • Required: Minimum of two years of professional billing experience with an emphasis on managed care denial follow-up and appeals processing. Prior hospital billing experience is a plus.
  • Preferred: Three to five years of patient accounting experience in a high-volume environment.
Specific Skills, Knowledge, Abilities Required:
  • Strong analytical skills
  • Proficient in Microsoft Windows with a strong emphasis on Excel
  • Ability to prioritize and coordinate workflow with great attention to detail
  • Knowledge of CPT, HCPC, and ICD-10 coding requirements with an emphasis on modifiers and diagnosis association
  • Working knowledge of LCDs, NCCI, and MUE edits
  • General knowledge of commercial, HMO, and Medicare Advantage claims, including authorization and documentation requirements
Key Responsibilities:
  • Research and resolve claim denials
  • Handle ADR requests and certifications
  • Submit and track appeals
  • Identify trends and generate monthly reports
  • Respond to audit requests from payors, including RAC audits
  • Maintain a comprehensive library of payer reference material
  • Collaborate with Revenue Cycle stakeholders to provide insights on denials and preventive measures
If you meet the above qualifications and are looking for a challenging and rewarding position, we encourage you to apply for this opportunity.

Job Summary

JOB TYPE

Full Time

SALARY

$45k-53k (estimate)

POST DATE

06/10/2024

EXPIRATION DATE

08/08/2024

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The job skills required for Medical Billing Specialist include Billing, CPT, Attention to Detail, Accounting, etc. Having related job skills and expertise will give you an advantage when applying to be a Medical Billing Specialist. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Medical Billing Specialist. Select any job title you are interested in and start to search job requirements.

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The following is the career advancement route for Medical Billing Specialist positions, which can be used as a reference in future career path planning. As a Medical Billing Specialist, it can be promoted into senior positions as a Medical Billing Supervisor that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Medical Billing Specialist. You can explore the career advancement for a Medical Billing Specialist below and select your interested title to get hiring information.