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Pacific Medical Inc.
Tracy, CA, United States
Established in 1987, Pacific Medical, Inc. is a distributor of durable medical equipment; specializing in orthopedic rehabilitation, arthroscopic surgery, sports medicine, prosthetics, and orthotics. With the heart of the company dedicated to helping and serving others, we provide our services directly to the patient, medical networks, physician cl
Job Source: Pacific Medical Inc.Compunnel
Fremont, CA, United States
Job Description: As a Medical Biller, you will play a crucial role in the healthcare industry by ensuring accurate and timely billing and reimbursement for medical services. Your primary responsibility will be to process medical claims and invoices, communicate with insurance companies and patients, and maintain detailed records of financial tran
Job Source: CompunnelPersonalis Inc.
Fremont, CA, United States
At Personalis, we are transforming the active management of cancer through breakthrough personalized testing. We aim to drive a new paradigm for cancer management, guiding care from biopsy through the life of the patient. Our highly sensitive assays combine tumor-and-normal profiling with proprietary algorithms to deliver advanced insights even as
Job Source: Personalis Inc.Armanino LLP
San Ramon, CA, United States
At Armanino, you determine your career path. This means it's possible to pursue challenges you are passionate about, in industries you care about. Armanino is proud to be Among the top 20 Largest Accounting and Consulting Firms in the United States and one of the Best Places to Work . We have a community of resources that are ready and willing
Job Source: Armanino LLPNCJPA
Concord, CA, United States
Job Description Job Description Under the direction of the Operations Manager, the Billing Specialist position is responsible for ensuring overall utility pricing and billing of construction work performed by jointly owned utilities. The Billing Specialist is personally responsible for the quality, accuracy, and integrity of billing documents pro
Job Source: NCJPAWashington Hospital Healthcare System
Fremont, CA, United States
Salary Range : $158,080 - $221,312 Position Summary : The Director of Medical Billing leads and directs strategic conception, implementation and maintenance of reimbursement strategies and systems designed to facilitate and maximize fee for service reimbursement. Qualifications: Education: Bachelor's degree preferably in the area of Business Adm
Job Source: Washington Hospital Healthcare SystemInfo Way Solutions LLC
Fremont, CA, United States
Position Information Job Title: Logistics Billing Coordinator Contract Period: 1yr. Bill rate: $30.00~~~$37.00/hr. (or fair market rate) Work Address: 10800 Pecan Park Blvd., Suite130, Austin, Texas Work Hours: 8:00~17:00 Posting #: 4000074575 _Logistics Billing Coordinator @ Austin, TX JD Details Job Function/Description: Process cu
Job Source: Info Way Solutions LLCSan Ramon Valley Fire Protection District
San Ramon, CA, United States
ABOUT THE POSITION * This is a continuous recruitment* Recruitment can close at any time. DEFINITION Under the general direction of the Deputy Chief of EMS the direct supervision of the District's Interim EMS Division Chief, the EMS Specialist is responsible for supporting and assisting the District's maintenance of EMS service quality through; per
Job Source: San Ramon Valley Fire Protection DistrictLivermore, CA, United States
Job Title: Medical Billing Specialist
Location: Gainesville, FL – Onsite – Local candidates only
Period: 05/10/2024 to 12/16/2024 - possibility of extension
Hours/Week: 40 hours
Rate: $23-$25/hour (Hours over 40 will be paid at Time and a Half)
Contract Type: W-2
Scope of Services:
The Medical Billing Specialist is a pivotal member of our team, ensuring that the company meets its monthly financial goals. This role requires a diverse skill set and competencies to effectively communicate, negotiate, analyze, and resolve issues with payers and patients while adhering to HIPAA and PHI regulatory requirements.
Role, Responsibilities, and Deliverables:
Ensure compliance with HIPAA and PHI regulatory policies and practices throughout all phases of client information processing.
Report any compliance issues to the Director of Operations promptly.
Coordinate the insurance verification process, ensuring clarity for clients regarding their co-pay responsibilities.
Facilitate the collection of co-pays through timely follow-up.
Gather credit card or other payment processing information from clients as necessary and enter it into the system for payment processing.
Manage the timely entry of client information into the computer system, ensuring accuracy and completeness, and obtain any missing information needed to set up clients for service.
Confirm all sales orders in the system and ensure that all required documentation (e.g., proof of delivery, signed prescriptions, signed acknowledgment forms) is on file before submitting claims for payment.
Follow up on missing sales orders and reconcile billing questions regularly until payment status is complete.
Submit claims (electronic and paper) to payers in a timely manner, correcting and resubmitting front-end and back-end rejected claims as needed.
Ensure all cash is posted to the correct account promptly.
Follow up and collect payments due to the organization in a timely manner by generating invoices and following up with clients and/or payers.
Stay updated on current regulatory guidelines and reimbursement information to ensure accurate billing and reimbursement.
Perform other duties/projects as assigned by management, including customer service support, processing, resolving, and logging customer inquiries.
Key Skills and Competencies:
Attention to detail, ensuring accuracy in all tasks.
Excellent communication and listening skills.
Proficient in documenting accounts with detail and critical thinking.
Ability to read an explanation of benefits (EOB).
Strong analytical skills for effective collections management.
Familiarity with various tools and systems used in medical billing.
Proven problem-solving skills to overcome challenges in the billing process.
Exceptional customer service skills to maintain positive relationships with customers and payers.
Effective time management to prioritize tasks and meet deadlines.
Excellent attendance record.
Education & Experience:
Minimum of 2 years of experience in medical billing or related field.
Proficiency in medical billing software systems such as [insert specific software names].
Demonstrated understanding of HIPAA and PHI regulatory requirements.
Experience in coordinating insurance verification processes and managing co-pay collections.
Proven track record of accurately entering and managing client information in computer systems.
Familiarity with claim submission processes and experience in correcting and resubmitting rejected claims.
Strong communication skills with the ability to effectively interact with clients, payers, and internal teams.
Prior experience in handling customer inquiries and providing excellent customer service.
Ability to work independently and as part of a team in a fast-paced environment.
Previous training or certification in medical billing or related field is a plus.
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Email Alert for Medical Billing Specialist jobs in Livermore, CA, United States
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