Medical Insurance Billing and Coding Positions

Referral Coordinator Provides the administrative functions needed to support a smooth, efficient referral process; assists the utilization review and case management nurse with management of referrals and monitoring or institutional patients. High school diploma or equivelant. Two years experience in medical related field. Previous experience in UR, health plan, or managed care environment. experience with ICD9-CPT and DRG codes and medical terminology. Apply online at www.pacmed.org Billing and Eligibility and Account Receivable Representative (BEAR) The BEAR Representative is responsible for maintaining member eligibility records, COBRA Administration, collection of premiums and/or Administration fees, Client billing, Account reconciliation’s and monitoring account balances for clients. This includes the monthly sending of Client delinquent notices and termination notices to Group Administrators (GA). In addition, the BEAR Representative fields telephone and mail inquiries from clients/GA’s and internal departments related to the above. EXAMPLES OF DUTIES: 1. Maintains open communication and service relationships with internal and external customers. 2. Investigates and resolves customer complaints in accordance with company policy and grievance procedures. 3. Shares responsibility (with co-workers) in maintaining group electronic and paper files including, member enrollments, renewal documentation, correspondence and reconciliation of group files. 4. Generate and sent reconciliation worksheets to clients/GA’s and you may need to request additional documentation to make their account complete, including delinquent and termination notices. 5. Coordinates electronic member eligibility load processes and process the data received (adds, terms and changes) as required to reconcile accounts. 6. Ensure accurate member PCP information, (if required ie. gated products) and informing members when their PCP information has to be changed or a PCP chosen for the member, due to the members lack of choice. 7. Administration of COBRA Administration for TPA clients to include but not limited too: • COBRA billing to participants • Sending COBRA initial notices • COBRA election notices • Managing COBRA premium payments and termination notices • Client COBRA monthly reporting 8. Administers the delinquencies and collection policies of the company including determining if payments have been posted, calling clients regarding late payments and related correspondence. 9. Coordinates the grievance and/or appeal process within the company related to cancellation of group policies, eligibility, and discrepancies. 10. Coordinates calls from groups/clients, brokers or third party administrators related to delinquencies, group cancellations, member additions/terminations, collections, and billings rate payments. 11. Coordinates the content of eligibility records provided to ancillary vendors (ie PBM’s and MCC) 12. Coordinates new, renewal and change of information on clients/groups with the IS department to include setup of new LOB’s plan codes, and IPA set-ups. 13. Issue certificate of creditable coverage letters to members within HIPAA guidelines. 14. Review ages of dependent children to determine whether they are overage per the group/client contract. 15. Issue new members, Certificate of members coverage, Certificate of Insurance or Plan documents based on the clients/group contract if we provide this service or not. 16. Responsible for developing, maintenance, and generating various reports related to the above duties. 17. Performs other related duties as required. QUALIFICATIONS: 1. Strong written, verbal, and interpersonal communications skills. 2. Basic clerical skills with attention to detail. 3. Experience with Outlook, Word and Excel; experience with Access desired. 4. Knowledge of and/or ability to interpret procedure and policy. 5. Three years experience in Billing & Eligibility and/or Accounts Receivable. 6. High school diploma and AA degree, or the equivalent experience in lieu of education, desired. PHYSICAL REQUIREMENTS: 1. Hand and finger dexterity. 2. Ability to lift a minimum of 30 lbs. with use of handcart. 3. Ability to sit for long periods of time. 4. Ability to move with normal motion. 5. Ability to see and hear within normal ranges, with or without aid. Access to PHI: X Routine & re-occurring access to all forms of PHI – The duties of the position require regular and unrestricted contact with PHI. Reply to: consultant0039@todays.com Insurance and Referral Coordinator We are looking for a bright, energetic candidate to join our team. This is a full time position involving multi-tasking, attention to detail and the ability to work with the public. Job Description: This position is responsible for preparing charts for appointments, making sure that all appropriate documentation is in place to support our Billing Dept. by verifying insurance benefits, vision care programs, and/or securing authorization from primary care providers, health plans, etc. This position will also receive cross training to support other areas of responsibility such as surgical scheduling and optical departments as needed. Minimum Job Requirements Education and Experience: • High school diploma or equivalent • 1-2 years experience in a medical practice or similar experience in a hospital or other healthcare position. Experience in an optical or ophthalmology practice preferred. • Experience with managed care, referrals/authorizations and vision care programs highly desirable. Essential Skills and Abilities: •Ability to manage multiple tasks simultaneously with appropriate attention to detail •Maintain efficiency and organization under pressure and during periods of high patient volume •Excellent customer service and communication skills •Good problem solving skills •Ability to work as a team player Key Duties and Responsibilities: •Generate daily patient reports and pull charts for upcoming patient appointments •Contact health plans to verify and document patient benefits, copayments, etc. •Secure approval from primary care providers, patients and health plans as needed for managed care plans when necessary Other Duties All staff are crossed trained to cover other positions as necessary. Candidates that have a background in optical sales, fitting, adjusting, dispensing, contact lenses, etc. will be given foremost consideration. Contact Rose or Chris at (425) 450-2020 or fax resume to (425) 688-0620 We offer competitive salary, insurance benefits, 401K, profit sharing, free parking, and CHOCOLATE! Come join our team! Medical Billing Insurance billing, accounts receivable part time position. Medical billing and insurance experience required. Great second job 10-15 hours per week. Flexible hours. Responsibilities include billing, accounts receivable, phones and other duties. Please e-mail or fax resume & cover letter to jdfred822@comcast.net or (206) 721-0114 Medical Billing Entry level Medical Biller needed for busy Puyallup office. Minimum of 6 months experience required with medical billing/insurance. Must be organized and able to multi-task. Strong customer service is required. Experienced in Medical Manager is preferred. This is a temporary to hire opportunity. Please submit resume to aaron.moe@accountemps.com . Billing-Charge Entry Enter claims and payments into the Misys Tiger practice management system. 2 years experience coding CPT’s and ICD-9’s. Manage and handle the balancing of charge entry batches. Must be detail oriented, organized, structured, and systematic with good follow through. Must get along well with others. FT w/ benefits. Send cover letter and resume to Billing Manager, 1130 NW 85th St, Seattle, WA 98117, fax 1-866-372-0716, or email jobs@seattleprimary.com . Medical Collector Medical collector needed to become part of a growing Tacoma healthcare organization. Your first project...as part of a team of 3 collectors you will be responsible for collecting on commercial insurance accounts that have aged past 120 days. This is a 90 day project which could lead to more opportunity as a permanent employee for the right person. We are looking for a proven A/R specialist with a great attitude and a history of success in collections. If this sounds like you please email your resume to brian.kearney@rhi.com Medical Biller Seattle medical firm has an immediate temporary-to-hire need for a medical biller. Duties will consist of billing and reviewing client statements. All applicants applying for U.S. job openings must be authorized to work in the United States. All applicants applying for Canadian job openings must be authorized to work in Canada. Accountemps is the world's recognized leader in specialized temporary financial staffing, providing excellent opportunities in the areas of accounting, bookkeeping, credit and collections, data entry, finance, payroll, and taxation. Our relationships with top companies ensure our employees enjoy top pay, challenging careers and assignments with the best opportunities for full-time employment. Accountemps is a division of Robert Half International. Contact your local Accountemps office at 1.800.803.8367 or visit www.accountemps.com to find out more about this job and all our other job opportunities.