We are offering a contract to permanent employment opportunity for a Medical Billing Specialist in Sacramento, California. In the field of Ophthalmology, your role will involve the use of EPIC software for managing clinical and financial aspects.
Responsibilities:
• Conduct thorough verification of patient insurance coverage, ensuring validity and providing explanations about coverages when necessary.
• Implement billing functions, including itemizing costs based on services provided and applying appropriate medical codes for billing.
• Ensure the accurate and timely transmission of claims for payment to various insurance companies and patients.
• Execute diligent follow-ups on submitted claims, ensuring that payments are received in a timely manner.
• Investigate, rectify, and resubmit any denied claims for payment.
• Demonstrate proficient use of EPIC software, a pivotal tool for efficient management of data and workflow.
• Maintain compliance with federal and state laws in all billing practices while keeping updated knowledge on coding regulations and guidelines.
• Provide effective customer service by addressing and resolving any billing issues raised by patients, insurance companies, or clinicians.
• Oversee the administration of claims and conduct appeals as necessary.
• Manage Accounts Receivable (AR) and ensure efficient Medical Billing processes.
Responsibilities:
• Conduct thorough verification of patient insurance coverage, ensuring validity and providing explanations about coverages when necessary.
• Implement billing functions, including itemizing costs based on services provided and applying appropriate medical codes for billing.
• Ensure the accurate and timely transmission of claims for payment to various insurance companies and patients.
• Execute diligent follow-ups on submitted claims, ensuring that payments are received in a timely manner.
• Investigate, rectify, and resubmit any denied claims for payment.
• Demonstrate proficient use of EPIC software, a pivotal tool for efficient management of data and workflow.
• Maintain compliance with federal and state laws in all billing practices while keeping updated knowledge on coding regulations and guidelines.
• Provide effective customer service by addressing and resolving any billing issues raised by patients, insurance companies, or clinicians.
• Oversee the administration of claims and conduct appeals as necessary.
• Manage Accounts Receivable (AR) and ensure efficient Medical Billing processes.
• Proficiency in using EHR System for maintaining patient records and other relevant data
• Solid understanding and experience in handling Accounts Receivable (AR) to manage payments and dues
• Ability to handle Appeals effectively, ensuring all patient concerns are addressed in a timely manner
• Expertise in managing all Billing Functions, including coding, charge entry, transmission, and follow-up
• Experience in Claim Administration, ensuring all medical claims are processed and administered effectively
• Extensive knowledge in Medical Billing, including understanding medical codes, insurance regulations, and patient billing
• Familiarity with Epic EMR system for managing electronic health records efficiently
• Solid understanding and experience in handling Accounts Receivable (AR) to manage payments and dues
• Ability to handle Appeals effectively, ensuring all patient concerns are addressed in a timely manner
• Expertise in managing all Billing Functions, including coding, charge entry, transmission, and follow-up
• Experience in Claim Administration, ensuring all medical claims are processed and administered effectively
• Extensive knowledge in Medical Billing, including understanding medical codes, insurance regulations, and patient billing
• Familiarity with Epic EMR system for managing electronic health records efficiently
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All applicants applying for U.S. job openings must be legally authorized to work in the United States. Benefits are available to contract/temporary professionals, including medical, vision, dental, and life and disability insurance. Hired contract/temporary professionals are also eligible to enroll in our company 401(k) plan. Visit roberthalf.gobenefits.net for more information.
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