Contract Medical Biller

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.