Top 11 Insurance denial specialist Jobs in Madera Ca

Accounts Receivable Medical Billing
Eye Medical Center of Fresno, Inc. —Fresno, CA
- $39,520 - $52,000 a year
- Full-time
- Surgery
- Writing skills
- HIPAA
- Health insurance
- Dental insurance
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7d
Customer Service Representative
QUIPT HOME MEDICAL INC —Fresno, CA
- Microsoft Excel
- High school diploma or GED
- Typing
- Paid holidays
- Disability insurance
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AR Specialist
Cardiovascular Consultants Heart Center —Fresno, CA
- From $22 an hour
- Full-time
- HIPAA
- Mid-level
- High school diploma or GED
- Health insurance
- 401(k)
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Accounts Receivable Medical Billing

Eye Medical Center of Fresno, Inc. -
Fresno, CA

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Job Details

Full-time
$39,520 - $52,000 a year
7 days ago

Benefits

Health insurance
Dental insurance
401(k)
Paid time off
Vision insurance
401(k) matching
Employee discount
Flexible schedule
Life insurance

Qualifications

X12 EDI
Appeals
Accounts receivable
Medical billing and coding data entry
EDI
Accounts receivable management
High school diploma or GED
Insurance medical billing
Medical insurance appeals management
Patient billing
Medical explanation of benefits reviews
Medical claims submission
Medical billing account reconciliation
Insurance provider collaboration
Payment reconciliation
Insurance claims appeal handling
Medical terminology
Medical debt collection accounts
Collections account management
Quality data entry
Customer data entry

Full Job Description

Eye Medical Center of Fresno, Inc. has a proud legacy spanning over 75 years of delivering high-quality eye care. Our team of highly skilled ophthalmologists and optometrists provides comprehensive services, from routine examinations to complex surgical procedures, serving patients of all ages in a state-of-the-art facility.

Job Summary
We are seeking a detail-oriented and proactive Medical Billing Accounts Receivable (A/R) Specialist to join our dedicated healthcare team. The ideal candidate will possess strong expertise in medical billing and collections, with a focus on maximizing revenue cycle efficiency. In this role, you will manage the accounts receivable process, ensure accurate coding and documentation, and facilitate timely reimbursement for services rendered.

Primary Duties:

With precision and accuracy, prepare and submit each claim. Ensuring each goes out clean, with up-to-date medical information and billing codes, to guarantee accurate payment at first submission. As necessary, perform any follow up tasks required in pursuit of proper payment.

Meet daily, monthly and quarterly collection goals set by billing supervisor.
Process number of accounts per day as assigned.
Analyze EOBs and construct response to insurance carriers based on claim adjudication.
Manage AR of assigned accounts including processing insurance denials and or appeals, which may include phone contact with insurance companies.
Follow up with payers and other appropriate parties to collect open balances in a timely manner, ensuring compliance with payer guidelines.
Initiate refund requests for supervisor’s approval.
Identify and report payer issues with regard to rejection trends, denial trends, or change in payments. Communicate specific payer information to appropriate parties and or departments.
Identify and address denial and or zero payments and correct billing submissions.
Follow up and complete tasks on pending accounts in a timely manner and until account is settled.

10. Other job duties as assigned.

Other Job Criteria:

1. Exhibit high levels of customer service and communication skill, verbal and writing, in all interactions both internally and with outside companies.

2. Ability to proficiently utilize all company technology to perform job duties (e.g., answer phones, send emails, and updating patient accounts as needed).

3. Blend education, skills and experience on an ongoing basis.

4. Ability to work in a team setting and independently with minimal supervision, alternating between each as circumstances require.

5. Advanced time management skills, efficiently complete job duties with extreme accuracy.

6. Advanced organization skills, using professional judgment to prioritize high volume workload.

7. Maintain patient and job confidentiality, ensuring compliance with HIPAA standards.

8. Appearance and habits, does come to work with presentable personal hygiene and attire.

9. Reliable, dependable, and able to maintain job attendance with minimal absence.

10. Perform job duties in spite of unforeseen obstacles, with versatility and positive personal temperament under stress and or pressure.

11. Sitting and for long periods of time.

Education/Experience:

1. High School Diploma or GED

Two or more years of experience in medical accounts receivable (AR), claims billing, appeals, processing denials, and submitting electronic data interchange (EDI) claims.
Extensive experience and proficiency in date entry.
Proficiency in explanation of benefits (EOB) analysis, payment adjustments, and medical terminology.
Proficiency in understanding of CPT and HCPCS codes, AR follow-up, and payment reconciliation, and all revenue cycle functions and interrelationships.
Medi-cal billing experience required.

Pay: $39,520.00 - $52,000.00 per year

Benefits:

401(k)
401(k) matching
Dental insurance
Employee discount
Flexible schedule
Health insurance
Life insurance
Paid time off
Vision insurance

Experience:

Accounts receivable: 1 year (Preferred)

Work Location: In person

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insurance denial specialist jobs in madera ca

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