2 jobs found in Ladera Ranch

Medical Practice Billing SpecialistAmerican Family Care (AFC) is one of the largest primary and urgent care companies in the U.S. providing services seven days a week on a walk-in basis. Our state-of-the-art centers focus on the episodic treatment of acute illnesses and injuries, workers' compensation, and occupational medicine. Each location is equipped with an onsite lab and in-house x-ray capability. AFC is the parent company of AFC Franchising, LLC (AFCF). This position works directly with a franchised business location. The specific job duties and benefits can vary between franchises.Candidates Must Have:At least 2 years of experience in medical practice billing with exposure to working with denials, appeals, insurance collections, and related follow-upWorking knowledge of Local and National Coverage Determinations and payor policies, and how to use themMust have ICD-10 and CPT coding assessment skills, CPC certification is preferredStrong proficiency in MS Office applications...

American Family Care - - Responsibilities: Organize and prioritize incoming claims and denials; Evaluate claims and coverage documentation for appeals; Follow up on unpaid/denied claims with insurance carriers; Adhere to billing procedures and regulations; Collaborate with other departments to maximize efficiency