Offer summary

Qualifications:

High school diploma or GED required., Minimum 3+ years of insurance billing and collection experience., Expert knowledge on insurance and reimbursement processes., Understanding of medical ICD-9 codes and CPT medical billing codes..

Key responsabilities:

Monitors and initiates claim appeals on all insurance claims and pending receivables.

Prepares appeal letters to insurance carriers for claim denials and resolves payment issues.

Verifies patient eligibility and contacts customers to confirm insurance information.

Identifies areas for improvement within the billing department and works to decrease A/R days.

Job description

Millennium Health LLC is an accredited specialty laboratory with more than a decade of experience in medication monitoring and drug testing services, helping clinicians monitor the use and misuse of prescription medications and illicit drugs. The testing is used by healthcare professionals to obtain objective information about patients’ recent use of prescription medications and/or illicit drugs, and helps monitor the effectiveness of treatment plans.

Under general supervision, monitors and initiates claim appeals on all insurance claims and pending receivables after final bill. This position will be expected to maintain a comprehensive understanding of general coding and billing compliance, the adjudication process, and contractual obligations specific to various payers

The following are intended to be examples of the accountabilities for which the person in this position is responsible. This position is not intended to be complete or all-inclusive and does not preclude management from assigning other or related functions for which the individual has demonstrated competency through performance.

Prepares appeal letters to insurance carrier when not in agreement with claim denial. Collect necessary information to accompany appeal
Understanding of reason and denials codes from payors. Able to resolve claim denials based on reason codes
Verify patient eligibility and resolve any problems
Contact customers to verify insurance information
Contact insurance companies to resolve payment issues
Identify areas for improvement within the billing department
Work to decrease A/R days to industry standards
Identifies payor trends and works to resolve
Correct claims for re-submission
Assists with monthly close functions
Ability to establish and maintain effective working relationships
Able to reach and maintain department productivity and quality goals
Ability to meet individual and team goals with minimal errors as assigned by the Billing Manager Uphold Medicare, Medicaid, and HIPAA compliance guidelines in relation to billing, collections, and PHI information
Participates in educational activities and attends staff meetings
Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations
Regular and reliable attendance
Ability to ensure HIPAA, Confidentiality and Compliance policy, procedures, and standards are always adhered to.
Ability to ensure administrative, physical and technical cyber security controls are always adhered to.

Requirements

High school diploma or GED required
Minimum 3+ years of insurance billing and collection experience
Knowledge of business office procedures
Knowledge of paper and electronic claim requirements
Expert knowledge on insurance and reimbursement process
Familiarity with HIPAA privacy requirements for patient information. Maintains and protects confidential information
Understanding of medical ICD-9 codes and CPT medical billing codes
Proficient in the use of computers and common office equipment
Good math and data entry (typing) skills
Ability to read, understand, and follow oral and written instructions
Exercises good judgment and discretion
Good verbal and written communication skills
Good telephone and patient relations skills
Detail-oriented and able to prioritize work
Works with minimal direction and oversight
Must be flexible to work overtime as necessary

Benefits

Medical, Dental, Vision, Disability Insurance
401k with Company Match
Paid Time off and Holidays
Tuition Assistance
Behavioral and Health Care Resources
Mileage reimbursement & monthly car stipend

Potential Hiring Range:

Salary Range: $18-21/hr.
Salary offered is dependent on qualifications, experience, and geographical location.

Millennium Health is an Equal Opportunity/Affirmative Action Employer and E-Verify participant. All qualified applicants will receive consideration for employment without regard to race, color, creed, sex, national origin, disability, gender identity, sexual orientation or protected veteran status.

California Employee Privacy Notice - Millennium Health LLC

https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm

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