Healthcare Support
Boise, ID
Job Description
California Medi-Cal billing rep position for Boise, ID.
Medi-Cal billing, UB and/or 1500 claim billing
The Medical Biller & Follow-Up Representative reviews, researches, and processes claims in accordance with contracts and policies to determine the extent of liability and entitlement, as well as to adjudicate claims as appropriate.
The core responsibilities will include coding and processing claim forms; reviewing claims for complete information, correcting and completing forms as needed; accessing information and translating data into information acceptable to the claims processing system; and preparing claims for return to provider/subscriber if additional information is needed.
Additional follow-up responsibilities include maintaining all appropriate claims files and following up on suspended claims; assisting, identifying, researching and resolving coordination of benefits, subrogation, and general inquiry issues, then communicating the results;...