Review daily assigned tasks through the applications and as assigned .
Contact insurance companies, other third party payers regarding claims status and payments via telephone and written correspondence according to established standards. Respond to inquires and correspondence from insurance companies, patients ant third party payers in a professional and timely manner. Rebill claims as necessary. Review and process denials from insurance companies, process for further review, identifying and initiating appeals as needed. Audit accounts for any necessary corrections, including updating insurance coverage information. Must have working knowledge of CPT and ICD-10 codes and payer policies. Be able to identify denial trends and report to management. Must be able to perform at or above assigned department quality. Must be able to fulfill other duties as assigned by management.
Minimum two (2) years' experience in physician billing and collections with additional experience in OBGYN billing.
General computer skills, including the ability to use the internet to learn other computer applications.
Knowledge of excel, word and outlook.
General knowledge of medical terminology, CPT Codes, and ICD-10 CM Codes.
Must have good listening skills and the ability to communicate clearly and effectively.
High school graduate or equivalent
Certificate of Insurance Billing
Internal Number: MEM003700
About MemorialCare Medical Foundation
Let us introduce ourselves. We're MemorialCare, a nonprofit health system that includes four hospitals, two medical groups, imaging centers, surgical centers and much more. As one of the leading health systems in Orange County and Los Angeles County, we're confident that no matter what your needs are, we have the teams, tools and know-how to support you every step of the way.