Full Cycle Medical Biller at Fresno Women's Medical Group, Inc. – Clovis, California

Description:

Join our dynamic healthcare team as a Medical Biller, where your expertise will play a vital role in ensuring accurate and efficient billing processes for medical services. In this energetic role, you will manage the full billing cycle, from coding to claim submission and payment follow-up. Your attention to detail and ability to apply your skills in a fast-paced environment make a meaningful difference every day.

• Review and interpret medical records to accurately assign appropriate ICD-10, CPT codes, and HCPCS.
• Verify insurance coverage, patient eligibility, and benefit information before submitting claims to streamline reimbursement.
• Updating account information as needed, including patient demographics and/ or insurance information.
• Follow up on unpaid or denied claims through effective medical collection strategies, including resubmissions and appeals with required documentation.
• Maintain detailed documentation of billing activities, corrections, and correspondence related to medical records and claims.
• Collaborate with healthcare providers to clarify diagnoses and procedures as needed for accurate coding.
• Stay current with updates in ICD coding standards, CPT coding changes, and insurance policies to ensure compliance.
• Assist in managing accounts receivable by monitoring outstanding balances and coordinating payment plans when appropriate.
• Assist patients with questions and concerns.
• Perform related work as required, perform other job duties as assigned by the Manager.

Requirements: - A minimum of two (2) years of experience in medical billing is required. - Strong knowledge of the ICD-10, CPT, and HCPCS coding systems is essential. - Familiarity with billing regulations for PPOs, HMOs, and government payers is necessary. - An understanding of patient confidentiality and HIPAA regulations is important. - Experience in medical collections and resolving billing discrepancies is required. - Excellent attention to detail and the ability to accurately review complex medical documentation are essential. - Strong organizational skills are needed to manage multiple tasks in a fast-paced environment. - Effective communication skills are required for interactions with insurance companies, healthcare providers, and patients. - A High School Diploma or GED is required.