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Medical Biller
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Associated Management Consultants, Inc.
Riverside, CA (In Person)
$41,600 Salary, Full-Time
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Job Description
Medical Biller Associated Management Consultants, Inc. Riverside, CA Job Details Temporary | Part-time | Full-time From $20 an hour 6 hours ago Benefits Paid holidays Health insurance Dental insurance 401(k) Paid time off Vision insurance Opportunities for advancement Flexible schedule Qualifications Customer communication Teamwork Medicare Managed care Computer literacy Medical office experience Basic math Regulatory compliance in claims processing HIPAA Patient management software Medical coding experience in outpatient clinics High school diploma or GED Medicare regulations Electronic health record (EHR) management for billing and coding Centers for Medicare & Medicaid Services (CMS) billing regulations Medical explanation of benefits reviews Computer skills Medical claims submission Clinical documentation standards Full Job Description Position Summary The Medical Biller is responsible for submitting accurate claims, following up on outstanding accounts, resolving claim denials, posting payments, and ensuring compliance with payer guidelines. The ideal candidate will have direct experience billing Medi-Cal, IEHP, Medicare, and Commercial HMO/PPO insurance plans, along with experience using eClinicalWorks (eCW). Essential Duties and Responsibilities Submit timely and accurate electronic medical claims to insurance carriers and patients. Review, investigate, and resolve rejected, denied, pending, and underpaid claims. Perform insurance follow-up through outbound calls and electronic correspondence to maximize reimbursement. Prepare and submit appeals with appropriate supporting documentation. Post insurance and patient payments accurately. Review explanation of benefits (EOBs) and electronic remittance advice (ERAs) to ensure accurate payment and account reconciliation. Ensure proper billing, coding, and documentation requirements are met. Maintain and work aging accounts receivable reports to resolve outstanding balances. Communicate professionally with insurance representatives, patients, providers, and office staff regarding billing questions and account issues. Maintain patient confidentiality and comply with all HIPAA regulations. Collaborate with the clinical and administrative teams to improve billing accuracy and revenue cycle performance. Perform other billing and revenue cycle duties as assigned. Qualifications Required High school diploma or equivalent. Minimum of 2-3 years of medical billing experience in a physician practice or medical billing office. Required experience using eClinicalWorks (eCW) EHR/Practice Management. Experience billing Medi-Cal, IEHP, Medicare, and Commercial HMO/PPO insurance plans. Strong knowledge of medical billing processes, payer guidelines, and revenue cycle management. Ability to read, interpret, and understand Explanation of Benefits (EOBs) and remittance advice. Knowledge of managed care and Medi-Cal billing requirements. Working knowledge of CPT, ICD-10-CM, and HCPCS coding principles. Proficient computer skills and basic mathematical skills, including percentages. Excellent organizational, analytical, and problem-solving abilities. Strong written and verbal communication skills. Ability to multitask, prioritize work, meet deadlines, and work both independently and collaboratively. Preferred Experience billing for Family Medicine, Pediatrics, and OB/GYN. Experience with birth center and/or outpatient facility billing. Knowledge of insurance appeals, denial management, payment posting, and accounts receivable follow-up. Experience working with clearinghouses and electronic claim submission. Benefits Competitive pay based on experience Paid Time Off (PTO) Paid Holidays Medical, Dental, and Vision Insurance 401(k) retirement plan Opportunities for professional growth and advancement Supportive, collaborative team environment If you are a motivated medical billing professional with strong revenue cycle experience and a commitment to accuracy and exceptional service, we encourage you to apply and become a valued member of our growing team.