Medical Biller and Collector Specialist

Company Overview:

Certified Healthcare Billing has been a fixture in the medical billing industry for over a decade. The company was founded by a group of experienced medical billers who saw a need for a billing company that could provide exceptional service to healthcare providers of all sizes. Over the years, Certified Healthcare Billing Services has grown steadily, building a reputation for its expertise, efficiency, and dedication to its clients. CHB is seeking a detail-oriented and experienced individual to fill the role of Medical Billing and Collections Specialist to join our esteemed team.

Position Overview:

The successful candidate will be responsible for accurately billing patients and third-party payers, managing accounts receivable, and ensuring timely payment for services rendered. The candidate will work closely with healthcare providers, insurance companies, and patients to resolve billing issues, outstanding claims, and ensure compliance with regulatory requirements. If you possess expertise in medical collections, have a knack for resolving outstanding accounts, and are dedicated to ensuring financial integrity in healthcare, we want to hear from you! The individual applying for this position must have knowledge of how to appeal and dispute denied claims. Must have experience in AR collection and overall knowledge in medical billing. Please, do not apply if you do not have any experience in medical billing or collections.

Responsibilities:

• Review medical bills, records, and documentation for accuracy and ensure proper coding, billing, and filing with insurance companies and government agencies
• Generate and submit claims to insurance companies and other third-party payers
• Ensure claims are received, processed, and paid within insurance company time frames
• Collaborate with billing and coding teams to address coding errors and resubmit claims as needed
• Review, analyze and manage aged accounts receivable reports to identify overdue balances
• Utilize in-depth knowledge of medical billing codes, insurance policies, and regulations to resolve billing discrepancies and appeal denied claims as needed; contact insurance companies and third-party payers to follow up on unpaid claims and denials
• Communicate professionally with insurance companies, patients, and healthcare providers to address collection issues
• Contact patients to discuss outstanding balances, explain billing statements, and assist with payment arrangements
• Analyze and interpret explanation of benefits (EOB) and remittance advice for accurate account reconciliation
• Stay up-to-date on healthcare billing regulations and guidelines
• Verify insurance coverage and eligibility for patients
• Process payments from insurance companies and patients
• Maintain patient confidentiality and adhere to HIPAA regulations

Requirements (Experience):

• Minimum of 1 year of experience in medical collections or revenue cycle management
• Strong understanding of medical terminology, DRG’s CPT, HCPCS, and ICD-10 coding; certification in medical billing and coding (e.g., CPC, CCS-P) preferred
• High school diploma or equivalent; associate or bachelor’s degree preferred
• Proficient in medical billing software and electronic health records (EHR) systems
• Knowledge of healthcare billing regulations, including HIPAA and Medicare guidelines
• Attention to detail and accuracy in data entry, billing processes, and documentation
• Strong negotiation and communication skills
• Detail-oriented with a focus on accuracy in account reconciliation
• Ability to prioritize tasks and work independently; also, collaboratively within a team when needed.
• Previous experience in a certified healthcare billing role or medical office preferred
• Demonstrates flexibility and ability to adapt to change

Job Type: Full-time

Pay: $20.00 - $28.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• Health insurance
• Paid time off

Schedule:

• 8 hour shift
• Monday to Friday
• Weekends as needed

Work setting:

• Office

Experience:

• ICD-10: 1 year (Required)

Ability to Relocate:

• Sunland, CA 91040: Relocate before starting work (Required)

Work Location: In person

Salary : $20 - $28