PrideStaff

Claims Processor Duties include: Ensuring accurate claims information, including patient data, diagnoses and procedure codes Submitting claims on time to primary, secondary and tertiary payers Following up on denied or unpaid claims, including appeals and resubmissions Generating patient statements and invoices, including prior payments and the remaining balance Reconciling claims billing reports Posting payments to correct line items when received Compensation / Pay Rate (Up to): $18.00 - $20.00

The Medical Billing Specialist role in Tracy, CA, is a full-time, on-site position. The role focuses on verifying medical eligibility, securing authorizations, and processing claims for medical equipment. Key Responsibilities Include: Eligibility & Authorization: Verify medical eligibility, benefit coverage, and authorization requirements via phone, fax, email, or online portals. Claims Processing: Process medical files and claims within strict deadlines. Carrier & Patient Contact: Coordinate with Work Comp carriers, hospitals, and patients to obtain required billing information. Record Keeping: Ensure compliance and accuracy of invoices, track purchase orders, and utilize Microsoft Excel for billing and contract spreadsheets. Position Requirements Include: Education: High School Diploma or equivalent required. Experience: 1-2 years of medical billing experience preferred. Skills: Typing speed of at least 45 words per minute...