Prelude Corporation

Job Description Job Description Description: 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 be able to (1) Review accounts for billing accuracy in order to maximize reimbursement. (2) Persuasive and tenacious follow-up on claims status (3) Appeal, and re-bill or forward claims for recalculation and / or adjudication as necessary. Must possess detailed knowledge of all medical benefit levels and have a thorough understanding of Federal, State, PPO, HMO, and Indemnity Plans structure. Must meet or exceed the standard level of performance on assigned accounts. ESSENTIAL RESPONSIBILITIES: • Data entry, correct insurance assignment to patient accounts, insurance eligibility verification. Review/update demographics and patient information for accuracy. • Working knowledge of appropriate coding systems; CPT, ICD-9...

Prelude Corporation in Laguna Hills is seeking a dedicated professional for collections and medical billing tasks. The ideal candidate will have a minimum of four years of relevant experience or a Bachelor's degree. Responsibilities include data entry, insurance verification, denial management, and compliance with billing regulations. This role requires proficiency in medical billing processes, excellent communication skills, and the ability to handle complex accounts effectively. If you have a strong attention to detail and customer service focus, we encourage you to apply. #J-18808-Ljbffr