2 jobs found in Brawley

Pioneers Memorial Healthcare District in Brawley, CA is looking for a Medical Biller II to support the Professional Medical Billing team. The role posts payments, handles denials, and manages accounts receivable while ensuring timely claims and accurate patient billing. You will work with ICD-10, CPT, and HCPCS coding, use EMR and billing software, and communicate with insurers to resolve discrepancies. A high school diploma and experience with Medicare/Medicaid billing are required. #J-18808-Ljbffr

SUMMARY: This position is responsible for supporting the Professional Medical Billing team by posting payments, capturing/working denials, and working outstanding accounts receivable (A/R) balances and other assigned duties as needed. They will be responsible for assisting in analysis and resolutions of clinic reimbursement issues, clinical statistics, recommending CDM updates for clinic services and assisting Management with other billing responsibilities as assigned. ESSENTIAL FUNCTIONS : Perform posting charges and completion of claims to payers on time Review transmitted claim via clearing house, working rejected claims as needed Review patient bills for accuracy and completeness, and obtain any missing information Prepare, review, and transmit claims using billing software, including electronic and paper claim processing Follow up on unpaid claims within a standard billing cycle timeframe Check each insurance payment for accuracy and compliance with...