Medical Billing Specialist - HYBRID

Company: Cap Diagnostics LLC
Location: Irvine
Posted on: January 25, 2023

Job Description:

Pathnostics is a leading precision diagnostic testing and development company providing solutions for Infectious Disease and Cancer diagnostics that will get patients on the right path. Check out our website to learn more: https://pathnostics.com/We offer:

• $19-25/hour DOE
• HYBRID in-office/remote schedule
• 2 weeks PTO + 1 week of sick PTO
• Employee and Dependent Health Insurance
• Optional FSA/DCA
• Dental, Vision, Life Insurance
• Voluntary Pet Care benefit
• 401(k)
• Employee Assistance Program (mental health, child & eldercare issues, etc.)
• Starting at $1,000 Employee Referral Bonus program
• Culture Club for company eventsCandidates Must Have:
  • At least 2 years of experience in medical practice billing with exposure to working with denials, appeals, insurance collections, and related follow-up
  • Working knowledge of Local and National Coverage Determinations and payor policies, and how to use them
  • Must have ICD-10 and CPT coding assessment skills, CPC certification is preferred
  • Strong proficiency in MS Office applications (Word, Excel, PowerPoint), and computerized billing systems is required, experience with Xifin is a plus
  • A patient-first, mission-oriented mindsetDuties:
    • Organize and prioritize all incoming claims and denials.
    • Evaluate medical claims and coverage policy documentation to determine validity for an appeal.
    • Responsible for ensuring and monitoring the effectuation of all decisions as a result of the follow-up of unpaid/denied claims with insurance carriers.
    • Responsible for adhering to health care billing procedures, documentation, regulations, payment cycles, and standards.
    • Work accounts to resolution.
    • Works collaboratively and effectively with all other departments and functions to maximize operational efficiency and service and ensure consistency in addressing appeals issues.
    • Work independently to identify and resolve complex client problems.
    • Work with leadership to develop appropriate policies and procedures.
    • Maintain current knowledge of healthcare billing laws, rules and regulations, and developments.
    • Comply with all applicable HIPAA policies and procedures and maintain confidentiality. Pathnostics is an Equal Opportunity Employer.
      
      
      
      
      PI201202809

Keywords: Cap Diagnostics LLC, Irvine , Medical Billing Specialist - HYBRID, Accounting, Auditing , Irvine, California