Medical Accounts Receivable/ Billing Specialist
Roth Staffing Companies

Job Info

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Duties and Responsibilities:

Submits claims to payors in accordance with payor requirements and agency policy.
Receives notices of claim rejections and denials.
Properly track and resolve issues to ensure claim payment.
Maintains complete and accurate accounts receivable records.
Performs troubleshooting for billing error codes.
Alerts the Manager regarding late or missing documents required for billing.
Assists with the collection of receivables by monitoring accounts receivables, resubmitting bills to overdue accounts, and alerting the Manager regarding seriously overdue accounts.
Produces reports as needed. ? Performs administrative duties such as sorting, scanning, filing, and emailing records.
Address denials and determine next steps.
Follow up on unpaid claims prior to filing deadlines.
Re-bill or submit corrected claims.
Monitor provider newsletter and communications for changes impacting claims payment.
Prepare insurance refunds.
Request off-sets and take-backs for overpayments.

All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the California Fair Chance Act, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, and Los Angeles County Fair Chance Ordinance. For unincorporated Los Angeles county, to the extent our customers require a background check for certain positions, the Company faces a significant risk to its business operations and business reputation unless a review of criminal history is conducted for those specific job positions.

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