Note: The job is a remote job and is open to candidates in USA. Sharp Community Medical Group is a patient-centered dermatology practice located in Kearny Mesa, specializing in comprehensive skin care. They are seeking a detail-oriented Medical Biller to ensure accurate and timely reimbursement for patient services, focusing on processing insurance claims and resolving billing discrepancies.
Responsibilities
- Ability to quickly learn and navigate an EHR system
- Patient Information Management: Accurately enter and maintain patient demographic and insurance information in the billing system
- Claims Submission: Prepare and submit insurance claims to various payers, including government and private insurance companies, ensuring compliance with billing regulations
- Claim Follow-Up: Monitor claim status, identify and resolve billing discrepancies, and follow up on outstanding claims to facilitate timely payments
- Insurance Verification: Verify patient insurance coverage and eligibility, including pre-authorization requirements
- Billing Inquiries: Respond to patient and insurance inquiries regarding billing issues, providing excellent customer service
- Payment Posting: Record and reconcile payments received from patients and insurance companies
- Documentation and Reporting: Maintain accurate records of billing and claims activities, generating reports as needed
- Compliance: Stay up-to-date with healthcare billing regulations and compliance requirements, ensuring adherence to all applicable laws and guidelines
Skills
- Experience in EClinicalWorks (ECW) required
- Medical billing: 1 year preferred
- Medical Biller Certification or Billing and Coding Certification preferred
Benefits
- Medical, Dental, and PTO
Company Overview
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