Experience:
5+ years of experience
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Employment Type:
Full time
Posted:
7/5/2017
Job Category:
Health Care Provider
Medi-Cal biller and follow up representative
Hoag Memorial Hospital Presbyterian | Newport Coast, California
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Job Description

The Medi-Cal Biller/ Collector is responsible for a variety of functions: The follow-up of accounts receivable and collections; which includes but is not limited appealing wrongful denials via CIF or Appeal forms, retro TARs, split billing requirements, RTD corrections, ACN Submissions, eTAR processing for radiology and other outpatient services, medi-reservations for therapy, Share of Cost reporting and certification, correction of claims, inpatient TAR submissions and rebilling, Split TAR processing, review of the coverage guidelines and all billing in accordance with Medi-Cal guidelines, payment validation, denial resolution, and a strong working knowledge of COB & MSP rules. Two (2) to (5) years of experience in Medi-Cal hospital billing (UB04) & collections in a hospital setting for both Inpatient and Outpatient services. Strong knowledge of the Medi-Cal rules and regulations, basic knowledge of CMS & Medicare programs and guidelines High School Diploma and some college preferred. Ability to multi-task

 

 

Required:

  • At least 2 years of experience in a hospital setting for billing, follow up, eTAR, CIF, Appeals, TAR, for IP and OP claims of Medi-Cal and Medi-Cal HMO claims.
  • Knowledge and experience of Medi-Cal fee for service –traditional- Medi-cal and Medi-Cal HMO billing requirements (experience of both required) appeals process, etc. Billing Medi-cal fee for service and medi-cal HMO as a secondary payer, review of RADs and familiar with RAD codes and required steps, NDC and Medi-cal CPT/HCPC code variances.
  • Basic office skills, letter writing, type 45 wpm, 10-key, High volume Outbound Calls, self motivator, team player, flexible, dependable and strong customer service and/or billing experience.

About Hoag Memorial Hospital Presbyterian

Located on the bayside bluffs overlooking Newport Beach, Hoag Memorial Hospital Presbyterian stands atop the list of the finest medical facilities in Southern California. Fully accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and designated as a Magnet hospital by the American Nurses Credentialing Center (ANCC), Hoag Memorial Hospital Presbyterian is a 511-bed acute care, not-for-profit hospital that provides a quality work environment and quality lifestyle. This unique combination provides an enriching environment like no other.

A quality work environment and quality lifestyle enables our nurses to chart a satisfying course for every area of their lives - professional, family, friends and personal pursuits. Along with Hoag's commitment and family-oriented approach to providing the highest quality patient care, there is an indisputable pride in the way we fulfill our healing mission.

We invite you to be a part of the dynamic and rewarding career opportunities available at our top-rated medical facility, while enjoying the added luxury of the renowned Southern California lifestyle.

Take a look inside and we believe you'll see why there is no place like Hoag.

View available openings at Hoag Memorial Hospital Presbyterian

 

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About Hoag Memorial Hospital Presbyterian

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Learn more about Hoag Memorial Hospital Presbyterian

This company profile was created by AfterCollege and is about Hoag Memorial Hospital Presbyterian. This page is not endorsed by or affiliated with Hoag Memorial Hospital Presbyterian. For questions regarding company profiles, please email: care@aftercollege.com.