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Billing, AR, AP & Compliance

Insurance, AR, Accounting, Billing, Collection, Credentialing, Compliance

HIRED!  CONGRATULATIONS TO HYLIE - Biller / Manager Neurology practice

JOB #2535

Front Office with Billing Knowledge

(Job # 2535)   High Profile Ophthalmology Practice in West LA seeks an experienced FRONT OFFICE with BILLING KNOWLEDGE  Ideal candidates enjoy working with patients as well as staying organized to collect payments at time of visit

 

ABOUT THE POSITION

  • Handle phones, appointments and check ins

  • Coordinate insurance verification, referrals and authorizations and confirm secondary insurance when applicable 

  • Ensure insurance has been verified to effectively collect payments and co-payments on appointment day

  • Assist patients in identifying their payment portion and payment options

  • Review coding and billing details to ensure they fit the payer criteria

  • Submit billing

  • Track and manage insurance claims 

  • Work denials, evaluating medical records, codes and other details to determine the issue.  Draft and submit appeals based on research

  • Monitor collections to ensure timely payment and follow up on non-payment with insurance companies and individuals

 

QUALIFICATIONS

  • Work experience in some area of optometry or ophthalmology

  • Minimum of two years of experience handling Front Office or Billing for a private practice

  • Experience working with medical EMR and billing systems - NexTech and Practice Plus highly desired

  • Experience in Insurance verification, Billing, Payment Posting, Accounting, and/or AR

  • Knowledge of CPT codes, ICD-10 and Modifiers

  • Experience working with primary & secondary insurances

  • Highly organized and detail oriented with an ability to request and collect payments including large amounts

  • Experience with financial posting & tie-outs

  • Professional verbal and written communication skills as well as customer service

  • Proficient in Microsoft Office (Excel, Word, etc.)

  • Self-motivated, dependable and can work independently, as well as on a team

  • All serious candidates will be subject to a background check

 

SCHEDULE, COMPENSATION AND BENEFITS

  • M-F  8:30a-5p

  • Compensation  $25.00+ per hour

  • Benefits include Health, Dental, Life, Vision, 401(k), Vacation, Sick and Holidays! 

JOB #2564

MEDICAL BILLER

(Job #2564)  BILLER for Downtown LA-area  Medical practice.  If you have 4+ solid years’ experience as a medical Biller/Collector, this might be a great opportunity for you to further develop your skills and get GREAT BENEFITS!!!!  

 

JOB DETAILS

  • Facilitates insurance verification, ensuring the Front Office is advised of scheduled patient payments needing collections at check-in

  • Handles the billing process including billing, appeals and collections of especially HMO but also, Medicare, Medical,  PPO and secondary payer patient financials

  • Reviews and sorts incoming mail with an eye for payments facilitating payment posting and deposit preparation

  • Works closely with Billing Supervisor with data entry and other financial management duties as needed for an efficient and complete billing cycle

  • Handles a high volume of patient billing per week ensuring a strong collection percentage

 

REQUIREMENTS

  • Certification from a reputable MEDICAL Billing College to be presented at time of application

  • Solid 3+ years of work experience for the same HEALTHCARE employer

  • Understanding and experience with MEDICAL insurance verification

  • Prior experience working with HMO verification, billing and collections

  • Proficient computer skills with high level of accuracy in charge entry and data entry

  • Strong attention to details with experience identifying MEDICAL billing issues, drafting appeals and securing collections

  • Experienced handling a high volume of MEDICAL billing with a proactive mentality to monitor collects and follow up on slow pay or rejections and facilitate follow up measures to ensure payment.

 

SCHEDULE and BENEFITS

  • M-F 8:30am - 5pm with a  30 min lunch

  • $25.00 per hour (plus incentive based on collections) 

  • Benefits include 3 weeks vacation, 6 sick days which accrue, paid holidays following probationary period, paid parking, Health and Dental, 401k and Profit Sharing

Genesis - Medical Assistant hired April 2024 - "Erin, you are a lifesaver, living on Catalina is so much fun!  I absolutely love my life ever since I moved out here!" 

Job # 2497

PERSONAL INJURY COORDINATOR / INSURANCE SPECIALIST

(Job #2497) Seeking a Personal Injury Coordinator / Insurance Verification Specialist for an Interventional Pain Management Practice in Beverly Hills!

 

JOB DETAILS

  • Handle a variety of responsibilities, identifying priorities and accomplishing tasks in a timely manner

  • Initial and ongoing contact with patients, attorneys, and medical providers

  • Scheduling PI medical appointments

  • Request PI medical records

  • Manage PI client’s medical care

  • Open and close PI files

  • Verify eligibility and insurance benefits for Medicare patients

  • Maintain accurate policy details in the Practice Management Software prior to patient appointments

  • Communicate with Medicare patients effectively to resolve any eligibility issues

  • Confirm copayments with patients prior to scheduled appointments

  • Point of contact for internal and external inquiries regarding eligibility

  • Gather, analyze, and research information/documents

  •  

REQUIREMENTS

  • Must have 2+ years of prior experience in an Administrative role with a Medical or Pain Management Practice Basic knowledge of medical terminology

  • Ability to manage a high call volume and emails prioritizing and responding to patient requests in a timely manner Excellent organizational, written and communication skills with a high attention to details

  • Comfort with requesting and collecting large payments

  • Professional polish in working with referring medical offices and attorneys

SCHEDULE, COMPENSATION AND BENEFITS

  • Monday to Friday 8:30am – 5pm

  • Pay: Starting at $28.00 per hour

  • Benefits: Health, Dental, Vision, 401k, PTO, Paid parking, 3 Sets of scrubs yearly

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