Under the supervision of the Government Billing Manager, this position is responsible for the timely and accurate billing through resolution of Medi-Cal inpatient and outpatient accounts. This includes billing, collection and follow-up activities; identification and processing of appropriate write-offs, accurate resolution of all credit balances and prompt response to communications from Medi-Cal. Ensures compliance to Medi-Cal billing requirements to include all coding edits. Performs timely billing of Medi-Cal as a secondary insurance to Medicare Part B and Commercial Insurance. Meet and exceed the minimum productivity volume, and standards of work as defined within the departmental policies and procedures.
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Demonstrated ability to use a 10key adding machine, calculator, fax machine, photocopy machine keyboard for data entry and personal computer (PC)
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Ability to perform multiple tasks, good mathematical skills, sound decisionmaking abilities and good verbal and written communication skills
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Ability to learn new systems, become proficient in development of reports via hospital systems and tools provided, proficient in excel and word document for appeal submission to payers
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High School Graduate
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2 years hospital MediCal and MediCal Manage Care billing and follow up experience
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2 years college
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Familiarity with commercial third party billing requirements
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Knowledge of MediCal billing requirements and regulations
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Evidence of continuing education
Texas Connect, Inc. (TCI) is a Management Services Organization (MSO). As an MSO, we are dedicated to providing business and administrative services for healthcare providers, such as medical practices and hospital systems, allowing them to focus on patient care. TCI handles crucial backend functions, such as Information Technology, Billing, and Medical Coding. This allows our client healthcare organizations to delegate these and other essential, but non-medical tasks to TCI to improve operational efficiency. https://www.texasconnectinc.com
