Job Description
Description Come and join our team! We are a local growing private medical practice specializing in the diagnosis and treatment of patients with diseases of the retina and vitreous. We are looking for individuals who would like to establish a career in healthcare working for a company with nationally recognized physicians. We provide on the job training giving you the ability to grow and advance your skills along with gaining innovative knowledge. Established in 1977, we have locations all over Northern California including Sacramento, Grass Valley, Roseville, Stockton, Modesto, Fairfield, Elk Grove, Folsom, Yuba City and Chico. Our physicians are nationally known, and we continue to be on the leading edge of retina care by utilizing the latest equipment and both participating in and designing new clinical trials to advance the state of care for retinal diseases. Join 240+ other team members working for our nationally recognized retina specialty practice in a fast paced, high volume medical office. This is an in office position, no remote work available.
The Account Representative teams are responsible for resolving all outstanding accounts receivable balances in a timely manner. They assist patients with billing questions, evaluate credit balances for refunds, respond to insurance payment denials and requests for additional information, files appeal, prepare demand letters, and the rebills of claims.
Responsibilities - Following-up on various accounts (Medicare, Medi-Cal, GMC, IPA, HMO, and PPO).
- Ensuring payment according to Medicare or Payer Contract Agreements.
- Working any claim denial and follow-up tasks per policy guidelines.
- Interacting with patients face-to-face or via telephone regarding billing questions.
- Requesting adjustments per policy guidelines when needed on an account.
- Preparing payment agreements per policy guidelines.
- Preparing refund requests per policy guidelines.
- Completing 1st and 2nd level appeals on denied, unpaid or underpaid claims.
- Attaching chart notes or referrals, if needed by claim.
- Manage Eligibility and Authorization task.
- Other duties as assigned.
Requirements - H.S. Diploma or equivalent (GED)
- Minimum 2-3 years of related medical billing experience.
- Excellent organization and communication skills.
- Proficient in Microsoft Word, Excel, Outlook, and PowerPoint.
- Must be able to prioritize tasks and follow-up for completion.
- Must be able to learn and adapt to new processes.
- Attention to detail and ability to multi-task.
Preferred Qualifications:
- Eligibility and Authorization experience preferred
- Experience with NextGen
- Experience with Experian ClaimSource and Denial Manager
- Spanish speaking
Retinal Consultants Medical Group
Job Tags
Contract work, Private practice, Local area,