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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: 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.


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

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