Job Summary: responsible for organizing patient medical costs and sending invoices to collect payment from patients and their insurers.

Duties and Responsibilities:

• Applies patient charges to patients accounts with a general understanding of ICD10 coding and modifiers for electronic and paper claims submission.
• Applies insurance and patient payments to the accounts.
• Speaks with patients via the phone and face to face regarding their accounts and collects payments.
• Corrects denied claims and resubmits for payment along with managing aged A/R and other duties as assigned.
• Properly code medical services, diagnosis, treatments, and more
• Invoice patients and insurance companies for claims or payments
• Track and collect payments, including setting up payment plans for outstanding bills.
• Correct rejected insurance claims and coding errors.
• Manage patient insurance claims and payment plans.
• Complete Medicare and Medi-Cal reviews
• Submit billing data to the appropriate insurance providers.
• Have a general knowledge of insurance plans and experience in navigating websites.
• Handle confidential information and abide by HIPAA laws and other medical policies.
• Maintain professional communication and working relationships with all providers and staff and maintain a professional appearance.
• Being a flexible highly motivated team player is essential.

Knowledge and Experience:

• Bilingual in Spanish
• 2 years of medical billing services or similar experience preferred.
• ICD10 and CPT coding experience preferred.
• Medical Terminology a plus.
• Knowledge of Workman Compensation Claims a plus.

Education Requirements:

High School Diploma or GED