2 jobs found in Brea

The medical biller position responsibilities are to submit accurate and timely claim billing and reports based on health plan, payor, or contract requirements. This also involves accounts receivable payment follow-up, appeals, and refunds if necessary. Schedule: This is an in-office position with day, swing and night shifts available. Essential Functions: Complete health plan billings based on requirements. Compile proper paperwork and conduct appropriate research to appeal claim denials, including requests for refunds/credits when applicable. Review and monitor reimbursements due from different payors to determine appropriate collection methods. Communicate effectively and professionally with external customers. Resolve payment issues with carriers, (e.g. denials, partial payments, etc.) Review, modify, and re-bill rejected/denied claims. Assist Cash department on payor backup as needed for payments received. Adhere to and comply with information systems...

MISSION, VISION, AND VALUES Our mission is to provide quality, comprehensive healthcare and supportive services to our community. Our vision is Improving the Health and Well-Being of Our Community. Our core values are Integrity, Compassion, and Excellence. Employees are expected to demonstrate a strong commitment to the mission, policies, goals, and philosophy of Harbor Community Health Centers. JOB SUMMARY Reporting to the Revenue Cycle Manager (RCM), the Medical Biller II independently performs billing, claims submission, payment posting, denial resolution, accounts receivable follow-up, and account reconciliation activities for HarborCHCs primary care, pediatric, behavioral health, and dental services. This position works collaboratively with providers, Patient Experience staff, and other departments to support accurate and timely reimbursement, resolve complex billing issues, and identify opportunities for revenue cycle process improvement. ESSENTIAL DUTIES &...