insurance biller

StoneGate Senior Living

Insurance Biller 100% On Site StoneGate Senior Living Lewisville, TX StoneGate Senior Living, a leading provider of Long-Term Care, Skilled Nursing and Rehabilitative Care in Lewisville, TX has an opportunity for an Insurance Biller with Managed Care Insurance experience to join our team! A rewarding career is waiting for you with a company that specializes in long-term and rehabilitative care! If you are an experienced Insurance Biller with Managed Care experience, we have the opportunity for you. This is not a remote position. As the Insurance Biller you are responsible for verifying, facilitating insurance authorizations, and billing via UB04s for Skilled Nursing patients. Duties may also include communicating with clinical liaisons, insurance carriers, and Skilled Nursing Facilities. The specialist will verify patients&rsquo; demographics, gathering and recording pertinent information, conform insurance/payor benefits, review preauthorization and complete processes and bill inpatients to the Skilled Nursing Facilities. Follow-up on all claims, moving copays, posting cash, appeals for non-paid claims and work all balances. Come be a part of our mission to provide superior clinical care, rehabilitation, wellness, and supportive services that meet the wants, needs, and expectations of our patients and residents. We offer competitive compensation, health, dental, and vision insurance, company paid life insurance, holiday pay, paid time off, employee appreciation events and much more. We look forward to you joining our team! Responsibilities: Understanding of SNF billing requirements and systems. Bills Insurance via UB04 detailed billing, non-episodic Tie NOMNCs to Insurance Authorization for billing and appeals. Full understand of ISNP systems and ability to bill per guidelines Detailed UB04/837 understanding Manage large load of claims from multiple facilities within deadlines Work closely with Team Members and billing issue resolutions Communicates effectively with clinical reimbursement Knowledge/understanding of Pharmacy exclusions and related billing procedures Post incoming remits and balance books Understand basic accounting knowledge and processes Working knowledge of national insurance clearing house systems Contact patient&rsquo;s insurance to confirm and determine amount of coverage and benefits, deductible due, length of stay and if authorization is required. Communicates authorization status electronically and verbally if needed. . Maintains open communication with Team Members and Clinical Liaisons to ensure teamwork, cooperation and mutual respect. **This is not a Coder position**** Requirements: High school diploma. College degree in Business preferred Basic Accounting/bookkeeping skills needed. UB04 experience required Must have Managed Care Insurance experience. Experience in Skilled Nursing authorizations preferred. Strong knowledge and understanding of Medicare, Managed Care, HMO/PPO plans and authorization/referral requirements. Ability to understand medical terminology. Ability to multi-task and prioritize duties. Strong Excel skills Excellent organizational skills. Uses a computer proficiently. Speaks and communicates English effectively, both in verbal and written format. **Note: this is NOT a coder position**

Insurance Biller

Exodus Recovery Inc.

Job Summary:Exodus Recovery, Inc (Exodus) is looking to hire a per diem Private Insurance Coordinator.Private Insurance Biller will provide support to Data Supervisor, Senior Data Specialist, Program Director, clinical staff and Executive team as a lead biller. Execute private insurance for all Exodus Recovery programs. Private Insurance Biller will maintain current data, train staff to read eligibility types, balance bill for PI clients, submit claims, track and follow up with insurance companies, train other billers to accurately bill and collect PI payments, adjudicate claims, travel to other counties to attend county trainings and work with local billing staff. Private Insurance Biller will provide status reports to the Executive Analyst and billing supervisor on current status of all PI claims and payments. Update all information using internal database created in conjunction with the data analyst team. Work as a lead for all reporting and conduct follow up related to private insurance. Heavy follow up, extensive hours on the phone with insurance companies, continued education, and professional development mandatory; stay current and informed of state and federal healthcare changes that apply to billing and HIPAA rules and regulations. This position will be required to travel to other counties and programs on a regular and as needed basis.PLEASE NOTE: this is an in-office position requiring travel throughout Los Angeles County, and that work hours may varyMINIMUM QUALIFICATIONS:<ul><li>Requirements: 2- 3 years&rsquo; experience in a customer service oriented position.</li><li>Experience with direct insurance billing for Mental Health Services, familiar with different types of healthcare plans. Strong administrative skills in a healthcare setting. Must be able to work independently without constant supervision. Must be able to travel and have own transportation, will work outside of LA County for different projects as needed.</li><li>Understanding of health insurance billing or claim process must be self-&shy; motivated, comfortable with spending many hours on calls with insurance companies. Must be able to travel regularly to other counties. Must be computer literate with a focus on Word documents, Excel spreadsheets, Speedy Claims and reports, Outlook and able to do Internet searches. Excellent communication and customer service skills are a must.</li></ul>EDUCATION: High School Diploma or GED. Bachelor&rsquo;s degree or equivalent work experience preferred.Pay: $21.00 - $23.00 per hourBenefits:<ul><li>401(k)</li><li>Employee assistance program</li></ul>Application Question(s):<ul><li>Do you have a familial or close relationship with a current Exodus employee? If yes, please tell us the employee&rsquo;s name.</li></ul>Ability to Commute:<ul><li>Los Angeles, CA 90056 (Required)</li></ul>Ability to Relocate:<ul><li>Los Angeles, CA 90056: Relocate before starting work (Required)</li></ul>Work Location: In person

Private Insurance Coordinator

TruArc Health

<div>
 
 MVML, Inc. is seeking a detail-oriented Medical Biller to join our dynamic team. As a Medical Biller, you will play a crucial role in ensuring the accurate and timely processing of medical claims, facilitating efficient reimbursement, and maintaining compliance with healthcare regulations. You will work closely with healthcare providers, insurance companies, and patients to manage the billing and revenue cycle, contributing to the financial health of our organization.
 
 
 
 
 
 
 Duties &amp; Responsibilities:
 
 
 <ul>
 <li>
 Review high volume of claims to ensure they meet billing guidelines.
 </li>
 <li>
 Submit high volume of electronic claims accurately and timely.
 </li>
 <li>
 Submit claims to secondary insurance with appropriate supporting documents.
 </li>
 <li>
 Ensure claims are paid according to fee schedule.
 </li>
 <li>
 Effectively review EOB denials and underpayments to determine best course of action (resubmission/appeals).
 </li>
 <li>
 Track and manage unbilled claims due to missing information.
 </li>
 <li>
 Post insurance payments accurately and timely.
 </li>
 <li>
 Review and approve Electronic Remittance Advice (ERA).
 </li>
 <li>
 Perform follow ups and obtain claims status through insurance portals and over the phone.
 </li>
 <li>
 Perform verification of benefits and obtain authorizations when required.
 </li>
 <li>
 Maintain productivity and quality levels set by management.
 </li>
 <li>
 Perform additional duties as assigned by management.
 </li>
 <li>
 Adheres to all HIPPA and PHI guidelines.
 </li>
 </ul>
 
 
 
 
 
 QUALIFICATIONS:
 
 
 <ul>
 <li>
 1+ years of medical billing experience is required.
 </li>
 <li>
 Strong knowledge of medical terminology, CPT codes, ICD-10 codes, and modifiers.
 </li>
 <li>
 Experience working with EMR systems and clearinghouses.
 </li>
 <li>
 Experience with commercial insurance, Medicare, and Medi-cal.
 </li>
 <li>
 Experience with AdvancedMD preferred
 </li>
 <li>
 Experience with PrognoCIS, OfficeAlly, Epic, Conexem, Dr. Chrono a plus
 </li>
 <li>
 Strong knowledge of EOBs and ERAs.
 </li>
 <li>
 Strong knowledge of timely filing limits.
 </li>
 <li>
 Excellent communication and analytical skills.
 </li>
 <li>
 Attention to detail and strong organizational skills.
 </li>
 <li>
 Toxicology billing experience a plus.
 </li>
 <li>
 Medical billing certification a plus.
 </li>
 <li>
 Coding experience a plus.
 </li>
 </ul>
 
 
</div>

Medical Biller

Hafzak

Job SummaryWe are looking for a detail-oriented and experienced Medical Biller to join our team. The ideal candidate will be responsible for managing the complete revenue cycle process, ensuring timely submission of claims, and maximizing reimbursements from insurance companies.______________Key Responsibilities<ul><li>Submit medical claims to insurance companies accurately and on time</li><li>Follow up on unpaid or denied claims</li><li>Handle claim rejections and denials efficiently</li><li>Verify patient insurance eligibility and benefits</li><li>Post payments and reconcile accounts</li><li>Maintain accurate patient billing records</li><li>Communicate with insurance companies regarding claim status</li><li>Ensure compliance with HIPAA and US healthcare billing regulations</li><li>Work on AR (Accounts Receivable) and reduce aging</li><li>Coordinate with internal teams for missing information</li></ul>______________Required Skills &amp; Qualifications<ul><li>Minimum 1&ndash;2 years of experience in US medical billing</li><li>Strong knowledge of:</li><li>-CPT, ICD-10, and HCPCS codes-Insurance claim processes-Denial management</li><li>Experience with billing software (e.g., Kareo, AdvancedMD, eClinicalWorks, etc.)</li><li>Excellent communication skills (especially for US clients)</li><li>Strong attention to detail and problem-solving ability</li><li>Ability to work independently and meet deadlines</li></ul>______________Preferred Qualifications<ul><li>Experience working with US healthcare providers</li><li>Knowledge of different specialties (e.g., cardiology, dermatology, etc.)</li><li>Prior experience in AR calling is a plus</li></ul>Shift Night Shift (7:00 PM &ndash; 3:00 AM)How to Apply Send your CV to: drhamza@pcslogistics.netJob Type: Full-timePay: Rs85,000.00 - Rs90,000.00 per monthWork Location: In person

Open Door Community Health Centers

<div>Committed to Our Community in the Heart of the Redwoods. Removing Barriers to Healthcare Access
Greenway Admin
The Biller I processes basic claim processing, payment entry, customer service and collections for services provided to patients in all of the ODCHC facilities as per ODCHC policies, coding rules and billing guidelines.
Compensation Range:
$25.50-$29.45
All new hires will begin at the base wage of this position.
Hmong and Spanish speakers who successfully pass a language exam will receive an additional .75 hourly differential to their wage.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
These essential responsibilities are performed within the context of collaboration and coordination within ODCHC&rsquo;s Billing Department and across multiple ODCHC departments and clinics.<ul><li>
Verifies eligibility and benefits and perform claim follow-up.</li><li>
Inputs and/or edits patient charges.</li><li>
Where appropriate, communicates with third party payers and patients regarding charges or payments, and provides basic customer service.</li><li>
Performs claim status checks and basic follow-up processes.</li><li>
Enters program, carrier, and patient payments and reconciles to Finance documents.</li><li>
Produces daily, weekly or monthly User Audit reports and monitors for accuracy.</li><li>
Other duties and responsibilities as designated by supervisor.</li><li>
Adherence to ODCHC attendance policy.</li></ul>
QUALIFICATIONS:
The successful candidate will possess experience and skills spanning a variety areas:<ul><li>
Computer skills, including familiarity with databases, spreadsheets, and word processing software.</li><li>
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.</li><li>
Ability to read and comprehend moderately complex instructions, correspondence, and memos.</li><li>
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.</li><li>
Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.</li><li>
Ability to communicate effectively both orally and in writing.</li><li>
Excellent interpersonal skills. Ability to establish constructive working relationship with all levels of employees in a staff of varied and diverse backgrounds.</li><li>
Ability to deal with problems involving several concrete variables in standardized situations.</li><li>
Strong multi-tasking skills including ability to organize and prioritize work that involves meeting multiple and sometimes competing deadlines.</li><li>
Ability to handle difficult or confrontational situations in a calm, consistent manner and at all times demonstrate professional behavior with patients, colleagues, and management.</li><li>
Ability to work in a strong, cohesive TEAM environment.</li></ul> 
SUPERVISORY RESPONSIBILITIES: None.
SUPERVISION AND SUPPORT: Biller I is supervised by the Billing Manager.
EDUCATION and/or EXPERIENCE:<ul><li>
High school diploma or GED.</li></ul>
PHYSICAL REQUIREMENTS: This is largely an office-based position. The physical requirements described are representative of those needed to successfully perform the essential duties of the position. Reasonable accommodation will be made to allow otherwise qualified candidates to perform these functions.<ul><li>
Ability to communicate via telephone, video, and/or in-person.</li><li>
Vision adequate to read documents, computer screens, forms.</li><li>
Ability to remain stationary for extended periods of time.</li><li>
Ability to lift, carry, or otherwise move up to 25 pounds.</li><li>
Ability to use keyboard and view computer screens for extended periods of time.</li><li>
Ability to travel locally and long-distance.</li><li>
Ability to move around offices and clinics as needed.</li></ul></div>

Biller I

Ascent Revenue Management

Please read these qualifications closely. If you don't have ALL of these qualificationsDO NOT APPLY. I REPEAT DO NOT APPLY. This Non-negotiable. Looking for Remote Biller in Optometry Industry.Must be proficient and have current experinece (past year) in MaximEyes EHR and Trizetto.Must have current knowledge and experience (past year) in the Optometry industryMust know Optometry billing on the Medical side of things; correct modifiers, co-management claims, denial management etcMust be located in the USA. Prefer someone who know WA state insurances, but not required.OK with 1099 tax status. Job is remote make you own hoursMore info to follow if you pass pre-screeningPay: $25.00 - $30.00 per hourExperience:<ul><li>Optometry Industry : 5 years (Required)</li><li>Medical billing in Optometry. Not Vision, but Medical.: 5 years (Required)</li><li>Maxim Eyes - submit claims, posting , problem solving: 2 years (Required)</li><li>Maximeyes EHR: 2 years (Required)</li></ul>Work Location: Remote

Optometry -Medical Biller

UC Irvine Health

<div>Overview:
<div>
UCI Health is the clinical enterprise of the University of California, Irvine, and the only academic health system based in Orange County. UCI Health is comprised of its main campus, UCI Medical Center, a 459-bed, acute care hospital in in Orange, Calif., four hospitals and affiliated physicians of the UCI Health Community Network in Orange and Los Angeles counties and ambulatory care centers across the region. Listed among America&rsquo;s Best Hospitals by U.S. News &amp; World Report for 23 consecutive years, UCI Medical Center provides tertiary and quaternary care and is home to Orange County&rsquo;s only National Cancer Institute-designated comprehensive cancer center, high-risk perinatal/neonatal program and American College of Surgeons-verified Level I adult and Level II pediatric trauma center, gold level 1 geriatric emergency department and regional burn center. UCI Health serves a region of nearly 4 million people in Orange County, western Riverside County and southeast Los Angeles County.</div><div>
To learn more about UCI Health, visit www.ucihealth.org.</div>
Responsibilities: Position Summary:
The Biller II is an entry level collection position performing routine patient accounting functions such as updating patient demographics, insurance information, verification of insurance eligibility, and various activities in support of the Commercial Insurance collection team. The Biller II will also perform related clerical functions, filing/updating/submission of source documents via on-line insurance portal or mail, compiling insurance dispute packages for submission to the health plans or compliance agencies, confirmation of receipt of submitted documents, review of explanation of benefit, scanning, and other duties as assigned. The identification of essential functions below is not intended to be an exhaustive list of all duties that may be assigned to this position, nor does it restrict the duties which may be assigned to this position if such duties reasonably relate to the position.
Qualifications: Required Qualifications: 
<ul><li>
Previous patient accounting experience
</li></ul><ul><li>Knowledge of non-governmental and governmental payers
</li></ul><ul><li>Knowledge of authorization requirements of non-governmental and governmental payers
</li></ul><ul><li>Good communication skills to interact with customers and other staff in PFS
</li></ul><ul><li>Effective data and numerical data entry skills
</li></ul><ul><li>Demonstrated experience using computers and related programs and applications
</li></ul><ul><li>Ability to resolve routine errors and complete missing data by following file review procedures consistently and completely through to conclusion
</li></ul><ul><li>Ability to perform basic math calculations requiring addition, subtraction, multiplication or division and to determine the reasonableness of calculation results
</li></ul> 
Preferred Qualifications: 
<ul><li>
Previous patient accounting experience in a medical setting</li></ul>
<ul><li>Knowledge of medical terminology</li></ul>
<ul><li>Knowledge of CPT, ICD and HCPC billing codes, authorization requirements and related documentation</li></ul>
<ul><li>Bilingual skills in English and Spanish and/or Vietnamese</li></ul> 
 
Total Rewards
We offer a wealth of benefits to make working at UCI even more rewarding. These benefits may include medical insurance, sick and vacation time, retirement savings plans, and access to a number of discounts and perks. Please utilize the links listed here to learn more about our compensation practices and benefits.

Conditions of Employment: 
The University of California, Irvine (UCI) seeks to provide a safe and healthy environment for the entire UCI community. As part of this commitment, all applicants who accept an offer of employment must comply with the following conditions of employment:<ul><li>
Background Check and Live Scan</li><li>
Employment Misconduct*</li><li>
Legal Right to Work in the United States</li><li>
Vaccination Policies</li><li>
Smoking and Tobacco Policy</li><li>
Drug Free Environment</li></ul><ul><li>Misconduct Disclosure Requirement: As a condition of employment, the final candidate who accepts a conditional offer of employment will be required to disclose if they have been subject to any final administrative or judicial decisions within the last seven years determining that they committed any misconduct; received notice of any allegations or are currently the subject of any administrative or disciplinary proceedings involving misconduct; have left a position after receiving notice of allegations or while under investigation in an administrative or disciplinary proceeding involving misconduct; or have filed an appeal of a finding of misconduct with a previous employer.
</li></ul>The following additional conditions may apply, some of which are dependent upon business unit or job specific requirements.<ul><li>
California Child Abuse and Neglect Reporting Act</li><li>
E-Verify</li><li>
Pre-Placement Health Evaluation</li></ul>
Details of each policy may be reviewed by visiting the following page: https://hr.uci.edu/new-hire/conditions-of-employment.php 

Closing Statement: 
The University of California is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, age, protected veteran status, or other protected categories covered by the UC Anti-Discrimination Policy.
 
 
We are committed to attracting and retaining a diverse workforce along with honoring unique experiences, perspectives, and identities. Together, our community strives to create and maintain working and learning environments that are inclusive, equitable, and welcoming.
 
 
UCI provides reasonable accommodations for applicants with disabilities upon request. For more information, please contact UCI's Employee Experience Center (EEC) at eec@uci.edu or at (949) 824-0500, Monday - Friday from 8:30 a.m. - 5:00 p.m.</div>

Biller II, Commercial Collections - HB Patient Financial Services - FT Days

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Insurance Biller

Private Insurance Coordinator

Medical Biller

Medical Biller

Biller I

Optometry -Medical Biller

Biller II, Commercial Collections - HB Patient Financial Services - FT Days