Medical Biller

•Shift: M-F 8a-4:30p

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 in 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; and preparing formal history reviews.

• 2 years of medical billing experience

• Medi-Cal experience

• Medi-Call UB experience required

• Data entry skills

• Healthcare experience preferred

• Knowledge of insurance and governmental programs, regulations and billing processes (e.g., Medicare, Medicaid, Social Security Disability, Champus, Supplemental Security Income Disability, etc.), managed care contracts and coordination of benefits is strongly preferred.

If you are interested, please call, Kurt Hughes at 407-636-7030 ex. 202 and email your resume to me.

The greatest compliment to our business is a referral.

If you know of someone looking for a new opportunity, please pass along my contact information! We offer referral bonuses of up to $100.00 for each placement.