Client Billing Representative, Medi-Cal Billing Passport Health Communications
THIS JOB HAS EXPIRED Exempt/Non-Exempt:Non-Exempt
Benefits:Full Comprehensive Benefits Package
Employment Type:Full Time
Department:Passport Division (Patient Access)
Description:Passport Health Communications, Inc., a nationally recognized pioneer developing innovative solutions for the healthcare industry and one of Healthcare Informatics Top 100 Healthcare Companies, is seeking a Medi-Cal Client Billing Representative for our subsidiary Data Systems Group - Sacramento, CA office location.
The Client Billing Representative will promptly file hospital inpatient, outpatient and clinic claims with third party payers following up in a timely and efficient manner to ensure maximum reimbursement. Assist the client/patient in obtaining full benefits from their prior coverage and in understanding billing procedures, always maintaining good client/patient relations.
Duties:Processes claims within assigned responsibility in a timely and efficient manner, performing all associated duties in order to ensure completeness and correctness of all claims information. Inclusive of analyzing, updating and correcting data per payer regulations.
? Utilize proprietary systems and hospital host systems to complete daily tasks.
? Perform pre-bill activity such as but not limited to processing transfer files, releasing claims in host system, and confirm essential data entered at A/D/T.
? Initial Billing duties such as but not limited to submissions, confirmations and balancing routines.
? Denial Management duties such as but not limited to corrections, resubmissions and confirmations.
? Crossover/Secondary billing duties such as but not limited to initial and resubmission of claims, confirming receipt of the claim.
? Payment analysis such as payment sampling to confirm cost per diem rates, contracted rates and fee schedules.
? Maintains all documentation and records in accordance with federal, state and facility requirements.
? Other Duties as required
Qualifications:Minimum High School Diploma, AA degree preferred.
? Minimum 3 years general office experience specific to proper phone etiquette allowing communication to the client/patient that is pleasant and tactful.
? Minimum 5 years billing experience in a hospital, home health & hospice or clinic setting.
? Minimum 5 years Medi-Cal / contract reimbursement/ follow-up to third party payers experience.
Equivalent combination of education and experience may be considered.
Special Skills and Knowledge:
? Knowledge and experience with MS Office Suite, specifically with Word, Excel and Outlook.
? Ability to prioritize and multi-task.
? Excellent verbal and written communication
||Sacramento, CA |
THIS JOB HAS EXPIRED