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Medical Billing and Collections Specialist

Maven Wise, LLC
Santa Clarita, CA Full Time
POSTED ON 3/18/2025
AVAILABLE BEFORE 5/17/2025

Maven Wise, LLC is seeking a dynamic Medical billing specialist and collections specialist to interface with recipients and insurance carriers to handle a variety of post-sales Accounts Receivable functions in the area of insurance reimbursement, completing claim forms, verification of benefits, eligibility, plan/benefit analysis, and posting of insurance payments.

This is opportunity is an immediate start, long-term temporary position and is REMOTE.

Here's what you'll do:

  • Establish working relationship with insurance and billing staffs.
  • Answer telephone inquiries and obtains necessary information to set up patient charts and maintain files.
  • Excellent knowledge of insurance plans and be able to understand reimbursement levels based on plan design.
  • General knowledge of Medical Terminology and ICD-9 codes
  • Must have excellent understanding of insurance procedures and claims processes
  • Provide status of claims including explain processes relating to how a claim is paid i.e. provider write-off, deductibles, co-pays, in and out of network providers and pay percentages, patient responsibility... etc.
  • Able to understand and manage Insurance A/R including posting of payments, reconsolidating of accounts and write offs.
  • Create invoices and bills and forwards the billing information to the insurance carrier.
  • Maintains the billing information to assure an average lag time of 90 days.
  • Effectively perform collections or all assigned, unpaid claims.cases and assist in appeals process.Identify areas where additional training is required.
  • Able to manage our Medicaid accounts to ensure prompt payment of claims and write-offs.
  • Perform other related duties as assigned, including special projects.

Requirements:

  • High School Diploma/GED
  • Experience in medical insurance billing/pre-authorizations

Job Types: Full-time, Temporary

Pay: $22.00 per hour

Schedule:

  • Monday to Friday

Education:

  • High school or equivalent (Required)

Experience:

  • Medical billing: 2 years (Required)

Work Location: In person

Salary : $22

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