Medical Billing Coordinator

Job not on LinkedIn

🔥 4 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $18 - $22 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🏥 Medical Billing and Coding

👻 Ghost score 0%

What it means: the chance that no one is really hiring for this job.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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All Care To You

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2018

🏥 Healthcare

⚕️ Healthcare Insurance

💼 Consulting

Healthcare • Healthcare Insurance • Consulting

All Care To You is a Management Service Organization (MSO) dedicated to fostering a collaborative work environment grounded in knowledge, trust, growth, and respect. The company primarily operates within the hospitals and healthcare sector, offering a range of services that support healthcare providers and enhance patient care.

📋 Description

• Conduct timely and accurate follow-up on professional services claims using payor portals, secure chat, secure messaging, and telephone calls • Identify missing payments from health plans and initiate tracking procedures • Review incoming health-plan correspondence and take appropriate action or escalate issues • Identify pending claims and determine next steps to obtain reimbursement • Review limited new denials for processing errors, assign status, correct internal errors, and resubmit claims as necessary • Follow up with insurance carriers, providers, and other stakeholders to gather information or documentation required for claims resolution • Monitor provider messages and respond or escalate requests • Identify complex claims issues and escalate them for resolution • Research health-plan reimbursement policies, procedures, clinical guidelines, coding, and CCI edits • Communicate with insurance companies, healthcare providers, and billing staff to resolve claims issues and answer inquiries • Document interactions, claim status, actions taken, and resolutions in claims management systems • Prepare and submit reports on claim follow-up activities and status updates to management • Ensure claims follow-up complies with company policies, industry regulations, and legal requirements • Stay updated on insurance policies, regulations, and industry standards • Attend departmental and company meetings as required • Identify and report trends negatively affecting claim payments • Investigate and resolve claims-processing and payment discrepancies • Collaborate with team members and departments to ensure proper claim submission • Identify and recommend process improvements • Participate in training and development opportunities

🎯 Requirements

• A minimum of 3 years’ experience as a medical biller or similar role • Excellent technical skills, including the ability to work in multiple systems simultaneously and learn new systems quickly • EZ-Cap experience preferred • Electronic Data Interchange (EDI) Clearinghouse (Office Ally) experience preferred • Microsoft Suite: Outlook, Teams, Office365, OneNote, OneDrive, SharePoint • Sequel Server Management Studio • Confluence • Azure • Thorough knowledge of healthcare benefits, network participation, coordination of benefits, referral and authorization requirements, and insurance follow up • Working knowledge of CPT Codes, ICD-10 Codes, Modifiers, MUE, LCD, NCD, and CCI edits • Strong time management, multitasking, critical thinking, attention to detail, and organizational skills • Ability to work in a fast-paced environment while maintaining strict confidentiality • Excellent written and verbal communication skills • Must meet quantitative production standard of working 100–150 claims per week

🏖️ Benefits

• 100% employer paid medical, vision, dental, and life coverage • Paid holiday, sick time, and vacation time • 401(k) plan • Additional employee-paid coverage options • Fully remote work environment • Flexible work environment and schedules

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