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Medical Billing Specialist

Company: Zymeda Provider Solutions
Location: Moreno Valley
Posted on: May 12, 2022

Job Description:

This position is a full-time, goal-oriented, revenue-driven, highly accurate andmotivated biller for Gastroenterology and General Surgery. You will be responsible for taking data provided by medicalcoders and use that information to submit claims to insurance companies andall indicated follow-up necessary to collect payment due. Keeping with theZymeda Provider Solutions, Inc. Team Culture as a back-bone of your workethic and customer service. Using a high-degree of person and professionalaccountability to service the client billing needs. Coordinate all patient andinsurance billings by performing the following duties.Essential Duties and Responsibilities include the following:

  • Strong knowledge - Gastroenterology and General Surgery billing guidelines
  • Proactive approach to identify and resolve issues involving successful
  • reimbursement to client.
  • Reviews bulletins to identify new programs that may affect reimbursement for
  • all insurances and prepares reports.
  • Ensures accuracy and compliance with billing, coding, and follow-up
  • requirements and identifies overpayment and lack of documentation issues.
  • Review and analyzes bills as they come off the system and bills/transmits
  • them in a timely manner to appropriate intermediary.
  • Verifies all entries made by clinic staff and makes corrections if necessary.
  • Prepares bills and claims and transmits them on a timely basis, (within 72
  • hours of receipt)
  • Submit clean claim, a claim with no defect, impropriety or special
  • circumstances including incomplete documentation that delays timely
  • payment.
  • Reviews submittals to ensure accurate transmission and timely payment.
  • Provides information to payers and ensures that reimbursement is received.
  • Posts payments.
  • Contacts patients regarding outstanding balances.
  • Establishes payment plans to help patients manage payment of bills.
  • Sends delinquent accounts to collection agencies.
  • Processes insurance payments to patient accounts in computerized system.
  • Creates and mails insurance claims and patient statements.
  • Rebills insurance companies or other third parties to secure payment for
  • patients.
  • Responds to patient billing and statement inquiries.
  • Makes Recommendations to management for write-offs.
  • Reviews and follows up on denial codes transmitted to providers for potential
  • reimbursement on claims.
  • Gathers, compiles, and analyzes billing and statistical analysis.
  • Attends Training and/or seminars.
  • Performs other duties as required.About Zymeda:We are a revenue cycle management company focused on providing physician practices with the consulting services, process improvement, operational benefits and revenue cycle capabilities enjoyed by large medical groups. As a growing company based in Southern California, our company offers clients a unique level of service complimented by access to our leadership team and industry experts.The People:Our team of Billing & AR specialists comprise of various backgrounds and experiences. We work together to make sure everyone has the training, resources, and knowledge to enjoy the tasks that make them and Zymeda successful. Many team members take advantage of opportunities to grow professionally because we also like to promote from within.Team Culture:We are committed to fostering a positive work atmosphere where hard work is mixed with fun so that our teams look forward to coming to work. We reward innovation, problem solving, and process improvements. Check out our Google reviews and Facebook page to get an idea of our team culture!Check us out at

Keywords: Zymeda Provider Solutions, Moreno Valley , Medical Billing Specialist, Healthcare , Moreno Valley, California

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