3 jobs found in Merced

Medical Billing Specialist Review and enter patient demographic, insurance, procedure, diagnosis, and charge data accurately into the billing system. Validate coding accuracy using ICD-10, CPT, and HCPCS guidelines. Prepare and submit clean claims to Medicare, Medicaid, and commercial insurance carriers. Monitor claim status through payer portals and clearinghouses. Identify, research, and resolve claim denials, rejections, and underpayments. Prepare and submit claim corrections and appeals within payer deadlines. Post insurance payments, patient payments, contractual adjustments, refunds, and write-offs. Generate patient statements and respond to billing inquiries professionally. Establish and manage payment plans for self-pay and delinquent accounts. Verify insurance eligibility, benefits, and authorizations as needed. Maintain accurate documentation of billing activity and correspondence. Ensure compliance with HIPAA, payer contracts, and internal policies. Collaborate with...

Temporary Medical Billing Support Remittance Migration (Potential for Long-Term) Location: Merced, CA (Onsite preferred) Status: Temporary (Approx. 6 months) with potential for long-term placement Hourly Rate: $18.50 to 19.50Position Overview Merced Heart Associates is seeking short-term support to assist with the migration and reconciliation of insurance remittances from our third-party billing company into eClinicalWorks (ECW). This role is ideal for someone detail-oriented who understands medical billing workflows and can help ensure financial data is accurately transferred and posted. This is a temporary project-based position expected to last approximately 6 months, with the possibility of long-term opportunities for the right candidate. Candidates with formal medical assisting or medical billing certifications will be strongly considered for long-term placement. Key Responsibilities Import and reconcile remittance files from our third-party billing company into ECW Review...

Description • Review and enter patient demographic, insurance, procedure, diagnosis, and charge data accurately into the billing system. • Validate coding accuracy using ICD-10, CPT, and HCPCS guidelines. • Prepare and submit clean claims to Medicare, Medicaid, and commercial insurance carriers. • Monitor claim status through payer portals and clearinghouses. • Identify, research, and resolve claim denials, rejections, and underpayments. • Prepare and submit claim corrections and appeals within payer deadlines. • Post insurance payments, patient payments, contractual adjustments, refunds, and write-offs. • Generate patient statements and respond to billing inquiries professionally. • Establish and manage payment plans for self-pay and delinquent accounts. • Verify insurance eligibility, benefits, and authorizations as needed. • Maintain accurate documentation of billing activity and correspondence. • Ensure compliance with HIPAA, payer contracts, and internal...