top of page

Billing, AR, AP & Compliance

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

JOB #2523

BILLER and FRONT OFFICE ASSIST

(Job # 2523)   High Profile Ophthalmology Practice in West LA seeks an experienced BILLER who can also assist FRONT OFFICE.  Ideal candidates enjoy working with patients as well as coordinating billing details.  

 

ABOUT THE POSITION

  • Work with Front Office staff on effectively collecting insurance information prior to appointment day

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

  • Advise Front Office of collections required for patients scheduled to facilitate collections in person

  • Assist patients in identifying and coordination of payment options

  • Track and manage insurance claims & denials as well as prepare appeals. 

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

  • Submit billing

  • 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

 

QUALIFICATIONS:

  • Minimum of two years of experience with medical billing and collection systems

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

  • Experience in Insurance Billing, Payment Posting, Accounting, or AR

  • Knowledge of Ophthalmology CPT codes, ICD-10 and Modifiers

  • Experience working with primary & secondary insurances

  • Highly organized and detail oriented with an ability to meet hard deadlines

  • 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  $21.00 - $25.00 per hour

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

Job #2513

MEDICAL CODER / BILLER

Job #2513) MEDICAL BILLER needed for DOWNEY AREA OB Practice.   Busy Obstetrics practice seeking experienced Medical Coder/Biller with 3+ years' medical coding AND billing experience

 

JOB DETAILS

  • This position is the PRIMARY BILLER but will have some assistance available when needed

  • Ongoing review of all billing with an eye to billing needing special attention, denials and rebills

  • Address underpaid/overpaid bills for medications and check the validity of refund requests

  • Proactively identify and handle unpaid claims with prompt and appropriate follow-up

  • Maintain a low aging list to ensure a strong revenue stream for the practice Ensure strong communication and revenue reporting with the management

​

REQUIREMENTS

  • Bilingual SPANISH HIGHLY DESIRED but not required

  • 3+ consistent years working as a Medical Billing Specialist and extensive use of ICD-10 coding

  • Experience working with ICD 10 coding, EOBs, IPAs, HMOs Modifiers!!!.

  • Handle claim follow ups, underpaid/overpaid bills for medications, check validity of refund requests

  • Strong understanding of both private insurance and MediCal as well

  • Experience handling adjustments, understands write-offs, hospital claims,

  • Billing software experience is required as this is ELECTRONIC billing - Aprima EMR experience is highly desired Professional level of computer proficiency is required

  • Experience in Obstetrics or a minimum women's health, fertility or gynecology specialty required

  •  

SCHEDULE, SALARY & BENEFITS

  • M-F 8:30-5pm

  • Competitive Salary DOE

  • Benefits package Includes Medical HMO, Dental HMO, Pension after 1 year, paid parking, Vacation, Sick and Holidays

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

bottom of page