Job Information
Robert Half Surgery Medical Billing Collections Specialist in Los Angeles, California
Description We are in search of a diligent Surgery Medical Billing Collections Specialist to join our healthcare team in Los Angeles, California. This role entails full cycle billing and collection functions for surgical detail oriented fees in a medical setting. The individual will be expected to verify patient eligibility, resolve denials, and conduct daily reviews of medical documentation. This role offers a contract to permanent employment opportunity.
Responsibilities:
• Carrying out full cycle billing and collection functions for surgical detail oriented fees
• Verifying patient eligibility, authorization status, and primary payer information prior to claim submission
• Undertaking data entry and charge posting functions for services as required
• Conducting third party follow-up functions for all products and surgical procedures
• Reviewing EOBs and Denials, making corrections as required, and resubmitting the claim for payments
• Regularly working on the Athena Work Dashboard / Claim list for all assigned services
• Reviewing daily provider chart notes from Urgent Care to ensure documentation is complete and supportive of submitted charges prior to billing
• Providing the correct ICD-100M code to identify the provider's narrative diagnosis
• Identifying medications and supplies using the correct HCPCS code
• Accurately identifying the services performed based on the provider's documentation by providing the correct CPT code
• Reviewing all surgical operative reports and assigning appropriate CPT codes and tCD-10-CM codes for services performed by staff surgeons Requirements • Minimum of 3 years of experience in Medical Billing/Claims/Collections
• Proficiency in Medical Billing and Medical Collections
• Demonstrated expertise in Ambulatory Surgery and Surgery procedures
• Experience in resolving Medical Denials
• Proficient in Charge Entry processes within the healthcare industry
• Ability to handle Medical Appeals effectively and efficiently
• Must possess strong interpersonal and communication skills
• Ability to work independently and as part of a team
• Must be detail-oriented and have strong organizational skills
• Proven ability to maintain confidentiality in handling sensitive patient information
• Proficiency in using medical software and computer systems
• Bachelor's degree in a related field preferred.
Robert Half is the world’s first and largest specialized talent solutions firm that connects highly qualified job seekers to opportunities at great companies. We offer contract, temporary and permanent placement solutions for finance and accounting, technology, marketing and creative, legal, and administrative and customer support roles.
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All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.
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