Job Description
Job DescriptionIn this role, you’ll manage claim submissions, verify insurance details, and resolve discrepancies to ensure timely reimbursements. The ideal candidate brings strong coding knowledge, precision, and a commitment to maintaining the integrity of our billing operations.
Responsibilities
Assign correct ICD and CPT codes for medical diagnoses, procedures, and services.
Prepare and submit electronic and paper claims to insurance companies and government agencies.
Verify patient insurance coverage, eligibility, and pre-authorizations.
Generate and send patient invoices; follow up on unpaid claims and resolve billing discrepancies.
Post and reconcile payments from insurers and patients.
Respond to patient inquiries about billing, claims, and payments.
Maintain accurate, compliant records in accordance with HIPAA standards.
Create reports on billing activities, claim statuses, and revenue.
Stay current on updates to billing regulations, coding guidelines, and insurance policies.
Participate in training and professional development sessions.
Qualifications
High school diploma or equivalent required; Associate’s degree or certification in medical billing preferred.
Proven experience in a medical billing or healthcare administration role.
Proficient in ICD and CPT coding systems and familiar with medical billing software.
Knowledge of healthcare billing processes, insurance policies, and reimbursement procedures.
Strong accuracy, organizational, and follow-up skills.
Excellent communication and interpersonal abilities.
Ability to work independently and as part of a team in a fast-paced environment.
Familiarity with EHR systems, medical terminology, and HIPAA compliance.
Experience with Worker’s Comp and No-Fault claims preferred.
Equal Opportunity Employer / Disabled / Protected Veterans
The Know Your Rights poster is available here:
https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRi…
The pay transparency policy is available here:
https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_…
For temporary assignments lasting 13 weeks or longer, the Company is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.
We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.
AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.
https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Partici…
We also consider for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
#1572
Company DescriptionThis company offers growth and a great group of people to work with.