Medical Billing Representative

Job Description

Salary: $20 - $22 an hour

Are teamwork, inclusion, and growth important to you? Are you looking for an environment where departments work together to achieve success? Would you like to enjoy what you do and who you do it with? Then WELCOME to Monarch Diagnostics. You are our people! We are a leading diagnostics lab based in Irvine, CA that is built on a strong foundation of teamwork. We are one team working to achieve a common dream. Our laboratory performs high complexity toxicology and molecular testing and are preparing to expand - that means we need YOU! We at Monarch Diagnostics are looking for a Billing Specialist to join our team.

JOB SUMMARY: The collection specialist is responsible for researching and handling rejections and denials, documenting related account activities, posting adjustments, handling collection calls, and knowledge in collections in regards to Medicare, Medicaid, Medicaid Managed Care, and commercial insurance payers. The billing and collection specialist must possess critical thinking skills and understanding of Medicare, Medicaid eligibility requirements as well as commercial insurance payer payment methods to correctly record and follow up on payer contracts or government regulations. In addition, the collection specialist must demonstrate proficiency with the billing system to ensure all functionality is utilized for the utmost efficient processing of claims.

Preferred Candidate:

Will have experience in billing (medical billing)

High levels of communication experience

Detail oriented and organized

Experience with collections

Excellent communication, research, problem-solving, and time management skills

High level of accuracy, efficiency, and accountability

Outstanding critical thinking and organizational abilities

Excellent Computer Skills

Understanding of billing software and electronic medical records

Must be within driving distance to our Irvine office

Duties Include:

Making cold calls regarding collections

Pulling financial reports to determine outstanding payments

Mailing out invoices to patients

Updating patient information (if needed)

Verifying benefits (contacting patients who no longer have benefits)

Track outstanding patient collections

Stay up to date on billing protocols

Investigate historical data for each debt or bill

Submit regular reports on the status of unpaid accounts and any repayment progress.

Billing Collections Specialist is responsible for notifying established third-party payers of all billed accounts by mail, telephone, or by email for the purpose of collection on all accounts

This role will include reviewing payments, account follow-up, and overall responsibility of collection functions of assigned claims and accounts

Prepare and submit billing data/corrections to Biller and status updates

Ensure the patient’s medical information is accurate and up to date

Prepare bills and invoices, and document amounts due

Monitor and record late payments

Follow-up on missed payments and resolve financial discrepancies

Examine patient charges for accuracy and request any missing information

Investigate and appeal denied claims

Help patients develop patient payment plans

Receive payments and post amounts paid to patient accounts in patient database system

Record information about the financial status of customers and the status of collection efforts

Manage self-pay accounts

Prepare adjustment and write off reports

Understand the workings of authorizations

Able to verify insurance benefits and update account demographics

Follow-up on secondary billing, co-pays, and deductibles

Cross-train on other jobs in the department

Work collaboratively with other billing team members

Request and follow up on client information requests

Other duties as directed

Job Skills & Qualifications Required:

High School diploma or equivalent required, plus 2 years of previous experience in accounts

receivable, collections, debt solutions and/or payment solutions.

● Strong customer service and client relationship building skills.

● General understanding of accounts receivable and billing processing.

● Strong organizational and communication skills are a must.

● Excellent analytical skill and ability to meet processing deadlines.

● Attend all required training seminars and meetings at scheduled times.

● Ability to work independently as well as part of a team

● Proficient in Microsoft and Google

Benefits Include:

Medical, Dental and Vision