4 jobs found in Walnut Creek

Job Description Job Description The Certified Medical Coder is responsible for accurate, compliant, and timely coding of professional and facility pain management services, with a strong emphasis on Workers’ Compensation and Functional Rehabilitation Programs (FRP). This role supports interventional pain evaluation and management, rehabilitation services, and ancillary procedures, while ensuring compliance with state-specific WC rules, payer-specific billing guidelines, and other payer requirements. Performs review of all coding related holds for Boomerang Health Care (BHC) to ensure consistency in documentation needed to meet compliance guidelines for appropriate and effective reimbursement. *This is a remote role. What you will do: Assign accurate CPT, HCPCS, and ICD-10 codes for all services performed at BHC facilities. Apply appropriate modifier usage based on payer and service requirements. Ensure documentation supports medical necessity, procedural...

A healthcare services provider is seeking a DME Medical Biller in Walnut Creek, California. The role involves submitting and tracking claims for durable medical equipment while ensuring proper coding and adherence to regulations. Ideal candidates will have a solid understanding of insurance processes and coding standards. Responsibilities include managing claims, preauthorizations, and resolving denials. This position offers an opportunity to facilitate efficient billing practices and improve reimbursement rates for services provided. #J-18808-Ljbffr

Overview Kerae Medical is looking for a DME Medical Biller to join our team. You will be responsible for billing and collecting for durable medical equipment (DME) services. Ensure accurate coding, claim submission, and follow-up to maximize reimbursement for providers and suppliers. Also, you will be processing claims, verifying insurance coverage, managing preauthorizations, and resolving denials. Responsibilities Submitting and tracking claims for DME services, ensuring proper coding using HCPCS and ICD-10 codes. Adhering to payer guidelines, regulations, and billing procedures. Requesting and tracking preauthorizations for DME services. Reviewing and resolving claim denials, working with insurance companies. Communicating with patients about their insurance coverage and any outstanding balances. Posting charges, payments, and explanations of benefits (EOBs) to patient accounts. Maintaining detailed records of billing activities. Required Skills & Qualifications...

A medical supplies company located in Walnut Creek, California is seeking a DME Medical Biller to handle billing for durable medical equipment services. The role involves coding, claim submissions, and resolving denials. Candidates should have familiarity with CMS regulations and coding standards, along with effective communication skills. This entry-level position offers full-time employment and is ideal for those starting their careers in health care billing. #J-18808-Ljbffr