Billing Admin - Specialty Team/Primary Care

About Our Company:

Zymeda Provider Solutions, Inc. specializes in healthcare revenue cycle management and physician practice management. Our mission is to enhance the financial performance of healthcare providers while ensuring compliance and operational excellence.

At Zymeda, we believe in maintaining a harmonious and productive work environment. We conduct business honestly and ethically, driven by the values of trust, fairness & respect. Therefore, individuals joining our team MUST have strong work ethics to match our organization’s values and standards.

Summary

This position is a full-time, goal-oriented, revenue-driven, highly accurate and motivated billing admin position. You will be responsible for taking data provided by Biller and AR rep and use that information to submit claims with medical records to insurance companies and scanning of payment batches. Keeping with the Zymeda Provider Solutions, Inc. Team Culture as a backbone of your work ethic and customer service. Using a high degree of person and professional accountability to service the client admin needs. Coordinate all patient and insurance billings by performing the following duties.

Responsibilities

Data Entry and Charge Capture:

• Accurately enter patient demographic information, insurance details, and procedural codes into the billing system.
• Assist in capturing and recording charges for services rendered by healthcare providers.
• Verify insurance coverage and eligibility for patients prior to billing.

Claim Preparation and Submission:

• Prepare and review claims for accuracy and completeness before submission to insurance companies and other payers.
• Ensure that claims are submitted in accordance with payer requirements and billing regulations.
• Follow up on any missing or incomplete documentation necessary for claim submission.

Accounts Receivable Support:

• Assist in managing accounts receivable aging reports and follow up on outstanding claims and balances.
• Communicate with patients regarding outstanding balances, payment options, and billing inquiries.
• Provide support in appeals and disputes related to denied or underpaid claims.

Documentation and Recordkeeping:

• Maintain accurate and organized records of billing transactions, payments, and correspondence with payers and patients.
• Ensure compliance with regulatory requirements and organizational policies related to documentation and recordkeeping.

Misc. duties:

• Prioritize and manage multiple projects simultaneously in support of the revenue cycle management department.
• Coordinate and interact with clients and staff members as required.
• Teamwork - Balances team and individual responsibilities; puts success of team above own interests.
• Written Communication - Edits work for spelling and grammar.
• Team Leadership - Ensures progress toward goals.
• Conflict Resolution - Encourages open communications; keeps emotions under control.
• Diversity - Promotes a harassment-free environment.
• Ethics - Treats people with respect; upholds organizational values.
• Organizational Support - Follows policies and procedures; supports organization's goals and values.
• Adaptability - Adapts to changes in the work environment; manages competing demands; able to deal with frequent change, delays, or unexpected events.
• Personal Appearance - Dresses appropriately for position; keeps self well groomed.
• Attendance/Punctuality - Is consistently at work and on time; ensures work responsibilities are covered when absent.
• Dependability - Follows instructions, responds to management direction; takes responsibility for own actions; completes tasks on time or notifies appropriate person with an alternate plan.
• Planning/ Organizing - Prioritizes and plans work activities; uses time efficiently.
• Quality - Demonstrates accuracy and thoroughness; monitors own work to ensure quality.
• Safety and Security - Uses equipment and materials properly.
• Other duties required.

Qualifications

• Minimum of 3 years' experience in a larger or similar-sized company working in a revenue cycle management stream
• Strong knowledge of medical terminology, coding (ICD-9/ICD-10), and billing processes.
• Excellent communication skills for effective patient interaction and collaboration with staff.
• Ability to manage multiple tasks efficiently in a fast-paced environment.
• Familiarity with healthcare systems and electronic medical records (EMR).
• Commitment to continuous learning and professional development in the field of medicine.
• Ability to read and comprehend simple instructions, short correspondence, and memos.
• . Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization
• To perform this job successfully, an individual should have knowledge of; Excel Spreadsheet software, Word Processing software, and Internet based Provider Application software.

Job Type: Full-time

Pay: $20.00 - $25.00 per hour

Benefits:

• 401(k)
• Flexible schedule
• Health insurance
• Life insurance
• Paid time off

Schedule:

• Monday to Friday

Application Question(s):

• If you could change anything from your previous employer, what would that be?

Experience:

• Billing Administration: 1 year (Required)

Ability to Relocate:

• Moreno Valley, CA 92553: Relocate before starting work (Required)

Work Location: In person

Salary : $20 - $25