2 jobs found in Irvine

Job Description Job Title: Medical Billing Specialist Location: Irvine, CA 92618 (Onsite Role) Duration: 5 Months Contract + Possibility of Extension Responsibilities: * Review, analyze, resolve, and trend for complex claims issues * Perform quality assurance and remediation for insurance coverage updates and cash allocation * Secure payments for complex claims and contribute to revenue protection strategy * Navigate complex insurance systems, contracts, networks, and relationships * Provide project support through data analysis, process evaluation, and process re-design * Assist with the execution of strategic initiatives and establish long-term collections with payers * Works well under pressure in a fast-paced environment and meets expectations of deadlines, and carries out assignments to completion while maintaining a positive attitude * Maintain confidentiality of all company and patient information in accordance with HIPAA regulations and client's policies Qualifications: *...

Job Description Description: The Medical Billing Specialist II codes patient records, ensures accuracy and compliance for healthcare professional Workers' Comp claims. Maintain databases and audit patient charts and billing information for accurate processing of claims. Analyze, identify, and resolve billing issues that cause payment delays. Research and resolve patient, provider, and insurance company inquiries in a timely manner. Essential Duties and Responsibilities • Reviewing charts and identifying procedures: abstracting and coding patients' charts, utilizing ICDlO, CPT and HCPCS codes classifications with accordance to California Official Medical Fee Schedule. • Maintains communication with supervisor regarding significant issues or patterns observed regarding denials from insurance companies. • Communicate with Physicians to ensure documentation is substantiating services perform and it is accompanying with proper dictation. • Comply with all California Official Medical...