Top 64 Medical biller Jobs in Novato, Ca

Claims Examiner II
Partnership HealthPlan of California —Fairfield, CA
- $31.45 - $37.74 an hour
- Research
- Mid-level
- Office
Billing Coordinator
North Marin Community Services —Novato, CA
- $30.27 - $33.79 an hour
- Full-time
- Hybrid work
- Spanish
- Current TB test
- HIPAA
- Paid holidays
- Health insurance
Quick Apply
Radiation Oncology Coder Outpatient Speciality
Sutter Health —Berkeley, CA
- $47.58 - $66.60 an hour
- 8 hour shift
- Anatomy knowledge
- Surgery
- Writing skills
Insurance Reimbursement Specialist
CareDx, Inc. —San Francisco, CA
- $28 - $36 an hour
- Overtime
- Remote
- HIPAA
- Mid-level
- Office
- Commuter assistance
- Employee stock purchase plan
7d
Medical Biller
Blize Healthcare —Hercules, CA
- $25 - $28 an hour
- Full-time
- Ability to lift 50 pounds
- Data entry
- Contracts
- Health insurance
- Dental insurance
Quick Apply
23h
Medical Coder
Presidential Staffing Solutions, LLC —San Francisco, CA
- $21 - $26 an hour
- Full-time
- Research
- High school diploma or GED
- Computer skills
- Health insurance
- Dental insurance
Quick Apply
8d
Medical Billing/Collection and Bookeeping
Therapy Clinic —Richmond, CA
- $23 - $25 an hour
- Full-time
- Spanish
- Mid-level
- QuickBooks
Quick Apply
Revenue Cycle Management Associate
Abby Care —San Francisco, CA
- $50,000 - $65,000 a year
- Full-time
- Remote
- Background check
- HIPAA
- Mid-level
- Commuter assistance
- Paid parental leave
Radiation Oncology Coder Outpatient Specialty
Sutter Health —Berkeley, CA
- $37.73 - $58.10 an hour
- 8 hour shift
- Anatomy knowledge
- Surgery
- Writing skills
7d
Revenue Cycle Specialist
UCSF Health Medical Foundation —Emeryville, CA
- $28 - $31 an hour
- Full-time
- Microsoft Excel
- Microsoft Outlook
- Customer service
Quick Apply
4d
Patient Records Abstractor 2
University of California San Francisco —Emeryville, CA
- Full-time
- Remote
- 5 years
- Data analysis skills
- Analysis skills
14d
Medical Billing Coordinator/AP Specialist
Grand Lodge —San Francisco, CA
- $25 - $30 an hour
- Full-time
- Word processing
- Writing skills
- HIPAA
- Tuition reimbursement
- Opportunities for advancement
Quick Apply
Electronic Data Interchange (EDI) Claims Assistant
University of California San Francisco —Emeryville, CA
- HIPAA
- Mid-level
- Office
Senior Collections Representative
University of California San Francisco —Emeryville, CA
- Full-time
- Computer literacy
- Medical office experience
- HIPAA
Lead Medical Billing Specialist
North Bay Aesthetics —San Francisco, CA
- $40 - $50 an hour
- Full-time
- Mid-level
- Supervising experience
- Mentoring
- Health insurance
- Dental insurance
Quick Apply
Medicare and Medi-Cal Biller
Self-Help for the Elderly —San Francisco, CA
- $24 - $26 an hour
- Background check
- Mid-level
- Business development
Quick Apply
Inpatient/Outpatient Medical Coders
Posterity Group LLC —San Francisco, CA
- Microsoft Excel
- Oracle
- Mid-level
Quick Apply
7d
Related Services Billing & Compliance Coordinator
Rocketship Public Schools —San Francisco Bay Area, CA
- $70,304 - $77,760 a year
- Weekends as needed
- Hybrid work
- School experience
- Mid-level
- 3 years
- Health insurance
- Flexible spending account
Quick Apply
COLL REPR SR
University of California San Francisco —San Francisco, CA
- Microsoft Outlook
- Medical office experience
- Mid-level
REVENUE CYCLE HC MGR 1
University of California San Francisco —San Francisco, CA
- Full-time
- Data entry
- Organizational skills
- Senior level
14d

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Claims Examiner II

Partnership HealthPlan of California -
Fairfield, CA

Apply Now

Job Details

$31.45 - $37.74 an hour

Qualifications

High school diploma or GED
Typing

Full Job Description

Overview

To review, research, and resolve claims for all Medi-Cal claim types within established production and quality standards, including manual processing. Completes and processes claims and claims worksheets. Creates appropriate documentation that reflects the actions taken and status of the claim. Generates provider communication, such as letters, as necessary. Routes and tracks claims requiring review by other staff and departments, and processes when possible. Claims Examiner II is distinguished from Claims Examiner I by a higher level of autonomy and experience, as well as an ability to process a wider range of claim types.

Responsibilities

Reviews, researches, and resolves pended claims for Medi-Cal types: medical, ancillary, long term care, CHDP, encounter data, other coverage, and batch claims within established production and quality standards. Completes claims from the Batch Error Report and Batch Pass Report.
Routes claims to appropriate Partnership departments and internal staff for additional review. Follows up and completes claims once response to request has been received.
Follows established Partnership policies and procedures, Partnership Claims Operating Instruction Memorandums, State of California Medi-Cal Provider Manual guidelines, Title 22 regulations, and CMS guidelines when resolving pended claims.
Generates claims correspondence as needed.
Records daily production statistics and related activities on appropriate reports. Turns in all logs and reports to the Medi-Cal Claims Supervisor.
Reviews all work audits in a timely manner and submits any adjustments and corrections within the allotted time frame.
Supports Claims Department’s needs for resolving all pended claim types.
Participates in special projects and assignments as required.
Identifies and reports trends of pending claims that are increasing or processes that appear dated.
Recognizes and gives feedback to management on procedure changes that would result in more efficient operations.
Other duties as assigned.

Qualifications

Education and Experience

High school diploma or equivalent; minimum one (1) year in Medi-Cal billing and/or claims examining experience in an automated environment.

Special Skills, Licenses and Certifications

Effective written and oral communication skills. Good organization skills. Knowledge of claims processing and/or Medi-Cal billing, CPT, and ICD-10 knowledge preferred.

Performance Based Competencies

Ability to effectively exercise good judgement within scope of authority and handle sensitive issues with tact and diplomacy. Ability to stay focused on repetitive work and meet production and quality standards. Ability to accurately complete tasks within established timelines. Consistently meets production standards without compromising quality on all tasks.

Work Environment And Physical Demands

Ability to use a microcomputer keyboard. More than 95% of work time is spent in front of a computer monitor. When required, ability to move, carry, or lift objects of varying size, weighing up to 5 lbs.

All HealthPlan employees are expected to:

Provide the highest possible level of service to clients;
Promote teamwork and cooperative effort among employees;
Maintain safe practices; and
Abide by the HealthPlan’s policies and procedures, as they may from time to time be updated.

HIRING RANGE:

$ 31.45 - $ 37.74

IMPORTANT DISCLAIMER NOTICE

The job duties, elements, responsibilities, skills, functions, experience, educational factors and the requirements and conditions listed in this job description are representative only and not exhaustive or definitive of the tasks that an employee may be required to perform. The employer reserves the right to revise this job description at any time and to require employees to perform other tasks as circumstances or conditions of its business, competitive considerations, or work environment change.

Apply Now

Refine Your Search

medical biller jobs in novato, ca

Claims Examiner II

Billing Coordinator

Radiation Oncology Coder Outpatient Speciality

Insurance Reimbursement Specialist

Medical Biller

Medical Coder

Medical Billing/Collection and Bookeeping

Revenue Cycle Management Associate

Radiation Oncology Coder Outpatient Specialty

Revenue Cycle Specialist

Patient Records Abstractor 2

Medical Billing Coordinator/AP Specialist

Electronic Data Interchange (EDI) Claims Assistant

Senior Collections Representative

Lead Medical Billing Specialist

Medicare and Medi-Cal Biller

Inpatient/Outpatient Medical Coders

Related Services Billing & Compliance Coordinator

COLL REPR SR

REVENUE CYCLE HC MGR 1

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