What are the responsibilities and job description for the Contract Medical Biller position at AlliedUP Cooperative Inc.?

Contract Medical Biller

Pay Rate : $27 per hour

Location : In-Office in Corporate Office in South Central Los Angeles.

Hours : Monday – Friday 7 : 00-4 : 00 or 7 : 30-4 : 30

Our client is a Community Health Center, and they are seeking a Contract Medical Biller to support a retroactive billing project for at least 3 Months . The Medical Biller I is responsible for the coding and billing of Medical, Dental, Optometry, Behavioral Health, OB-GYN, and Podiatry, claims with knowledge in billing HMO’s, PPO’s Government and State programs Medi-Cal and Medicare, and third-party payers as well as managing revenue cycle processes including Medicaid and Medi-Cal eligibility, health information management and billing, and charge capture processes.

Required Qualifications :

6 Months Medical Billing Experience.
High School or GED.
Medical Billing Certification required.
eClinical Works experience is preferred.
Demonstrated knowledge in billing Noridian Medicare and Medi-Cal, FQHC billing knowledge, and experience billing in claim form UB04 Institutional.
Demonstrated knowledge of all Insurance companies, HMO’s, PPO’s Government and State programs Medi-Cal and Medicare, and third-party payers.
Experience with managing revenue cycle processes including Medicaid and Medi-Cal eligibility, health information management and billing, and charge capture processes.
Advanced skills in analysis and MS Office suite.

Key Responsibilities :

Create retroactive billing claims to the payer Medi-Cal.

Verify eligibility in the Medi-Cal and Noridian portals.

Copy CPT and ICD codes, Provider name and appointment facility from the original claim submitted to the new claim created.

Work through patient insurance documentation, billing and collections, and data processing to ensure accurate billing and efficient account collection.

Analyze billing and claims for accuracy and completeness; submit claims to proper insurance entities and follow up on any issues.

Follow up on claims using various systems, such as eClinical Works, Claim Remedi clearinghouse, Payer portals, etc.

Maintain contact with other departments to obtain and analyze patient information to document and process billings.

Successfully scrub and quality control claims prior to submission.

Work rejected claims and provides necessary follow-up to ensure successful claim processing.

Maintain strong attention to detail and ability to multi-task.

Maintains extremely high standards of professional conduct.

Adhere to policies regarding safety, confidentiality, and HIPAA guidelines.

Medica Billing, Dental Billing

Salary : $27

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