Medical Billing/Collections Specialist

We are seeking an experienced Medical Collections Specialist to process and follow up on physician claims from various payer types (HMO, PPO, Medi-Cal, Medicare, etc.) to ensure timely payment for services rendered.

Duties:

• Review and analyze medical documentation and patient records for accurate and timely billing entry; assign or reassign appropriate medical codes (ICD-10, CPT, HCPC) for diagnoses, procedures, and services rendered.
• Follow up with payers (HMO, PPO, Medi-Cal, Medicare, etc.) on unpaid or denied claims and resubmit as necessary.
• Process payments from insurance companies and patients.
• Maintain accurate and up-to-date patient billing records.
• Answer patient inquiries regarding billing and insurance coverage.
• Work A/R aging reports and collaborate with insurance companies to identify and correct coding/billing errors.
• Write and submit appeals to insurance companies, as needed.

Experience:

• 3-4 years of experience in medical revenue cycle management, including collections experience.
• MUST have experience using EHR system, experience with EPIC is a plus
• Proficiency in medical terminology, knowledge of ICD-10 and CPT codes, and medical collection procedures and practices.
• Familiarity with the full collections cycle, including re-bills, code corrections, aging reports, and appeals.
• Expertise with HMO, PPO, Medi-Cal, and Medicare

Note: This is not an entry-level position. Prior experience in medical billing/collections is required.

Schedule: Monday to Friday (7:00 am - 3:30 pm OR 7:30 am - 4:00 pm)
Work site: Newport Beach/John Wayne Airport Area - Must be able to work onsite 100% during temp period.

Benefits after Temp to Hire Period:

• Health insurance coverage
• Retirement plan options with a match
• Generous Paid Time Off (PTO) and paid holidays
• Hybrid - 2 days in office

Marquee Staffing has built a reputation on expert local market knowledge, unparalleled personalized service and the ability to deliver winning candidates and job opportunities.

Marquee operates offices located conveniently throughout Southern California. Each branch is full-service, providing temporary, contract, contract-to-hire and direct placement services for a diverse set of clients. Each branch has recruiters who specialize in key industries, ensuring that our clients get the best match possible for each open position and that our candidates get expert guidance in their career path.
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