MemorialCare Job - 37601389 | CareerArc
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Company: MemorialCare
Location: Fountain Valley, CA
Career Level: Mid-Senior Level
Industries: Healthcare, Pharmaceutical, Biotech

Description

Commercial Biller, Senior is responsible for all Commercial billing of accounts to various insurance companies and/or government agencies to ensure that PFS is capturing all revenues as timely, efficiently and accurately as possible. The Senior, Biller utilizes many complex and varying regulations, guidelines and systems to perform Commercial billing functions.   Proactively works with insurance companies, governmental agencies, patients and in-house resources to identify and resolve issues that delay account billing.   Works under the supervision of management performing all tasks related to hospital reimbursement.

  • Responds to insurance/departmental inquiries timely, effectively and accurately according to policies and procedures.
  • Documents all communications and patient/insurance demographics in the financial system ensuring detailed accuracy and necessary information to provide accurate and effective follow-up.
  • Working knowledge of HCPCS, CPT, ICD and revenue codes using appropriate manuals and resources, both hard-copy and online to facilitate billing.
  • Accurately and timely prepares and keys electronic and hard-copy billing; working rejects and other electronic reports daily; assists others, as requested.
  • Meets productivity goals as set by Management.
  • Knowledge of and appropriately applies state and federal regulations in Commercial billing activities using manuals and resources, both hard-copy and online, to initiate billing.
  • Makes suggestions for enhancements throughout the department and continually seeks opportunities to improve current policies, procedures and practices.
  • Recognizes and performs essential duties and offers assistance to others or performs other required tasks, as assigned by management, when own assignments are completed.
  • “Other duties as assigned”


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