3 jobs found in Laguna Woods

Job Summary This position will perform collections and medical billing for various regional and national payers, including Federal, State, Third Party (HMO, PPO, IPA, TPA Indemnity) and patient billing. Qualified candidates must review accounts for billing accuracy to maximize reimbursement, pursue tenacious follow‑up on claim status, appeal, re‑bill or forward claims for recalculation, and possess detailed knowledge of all medical benefit levels and federal, state, PPO, HMO and indemnity plan structures. Candidates must meet or exceed performance standards on assigned accounts. Essential Responsibilities Data entry and correct insurance assignment to patient accounts, verify insurance eligibility, and review/update demographics and patient information for accuracy. Apply appropriate coding systems (CPT, ICD‑9, HCPCS, coverage, LCD/NCD) and understand reimbursement associated with such codes. Process, validate payer requests and processed claims via correspondence, remittance...

Job Description Job Description Description: Orthopedic Medical Biller and Collector We are seeking a detail-oriented and experienced Orthopedic Medical Biller and Collector to join our healthcare team. This role is vital in ensuring accurate billing processes and effective collection of payments, contributing to the financial health of our practice while providing excellent service to our patients. Key Responsibilities: - Prepare and submit accurate insurance claims for orthopedic services in a timely manner - Review patient accounts for billing discrepancies and resolve issues promptly - Follow up on unpaid claims and outstanding balances with insurance companies and patients - Maintain detailed records of billing and collection activities - Communicate effectively with patients regarding billing questions and payment options - Stay updated on insurance policies, coding changes, and healthcare regulations related to orthopedics - Collaborate with clinical staff to...

Job Summary This position will perform collections and medical billing for various regional and national payers, including Federal, State, Third Party (HMO, PPO, IPA, TPA Indemnity) and patient billing. Qualified candidates must review accounts for billing accuracy to maximize reimbursement, pursue tenacious follow‑up on claim status, appeal, re‑bill or forward claims for recalculation, and possess detailed knowledge of all medical benefit levels and federal, state, PPO, HMO and indemnity plan structures. Candidates must meet or exceed performance standards on assigned accounts. Essential Responsibilities Data entry and correct insurance assignment to patient accounts, verify insurance eligibility, and review/update demographics and patient information for accuracy. Apply appropriate coding systems (CPT, ICD‑9, HCPCS, coverage, LCD/NCD) and understand reimbursement associated with such codes. Process, validate payer requests and processed claims via correspondence, remittance...