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Commercial Insurance Specialist

AHMC Healthcare
Posted 2 months ago, valid for a month
Location

Riverside, CA 92502, US

Salary

$21 - $23.62 per hour

Contract type

Full Time

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Sonic Summary

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  • The job involves performing clerical billing and follow-up functions in accordance with hospital and federal policies.
  • Responsibilities include reviewing payor contracts to ensure accurate contractual adjustments are made.
  • Candidates must have a high school diploma or equivalent and knowledge of CPT-4, HCPCs, DRG, and ICD-9 coding.
  • A minimum of 2 years of experience in Medicare MediCal billing and follow-up in a hospital setting is required.
  • The position offers a competitive salary, though the specific amount is not mentioned in the overview.

Overview

Performs various clerical billing and follow up functions, but not limited to items listed in the Performance Criteria.

Responsibilities

Comply with hospital and federal policies and guidelines in the billing and collection of claims. Reviews payor contracts to ensure correct contractual adjustments are posted as per individual payor agreement.

Qualifications

High school diploma or equivalent. CPT-4, HCPCs, DRG, ICD-9 coding knowledge. Minimum 2 years Medicare MediCal billing and follow up experience in a hospital setting.




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