MEDICAL BILLER-SAN DIEGO
WHO WE ARE - Millennium Health is a leading health solutions company that delivers accurate, timely, clinically actionable information to inform the right treatment decisions for each patient. Millennium Health offers a comprehensive suite of services including Millennium PGT and Millennium UDT, which can be used to better tailor patient care. More information can be found at www.millenniumhealth.com.
- Daily data entry for medical claims into Telcor (medical billing software system)
- Ability to meet individual and team goals with minimal errors as assigned by the Billing Manager Uphold Medicare, Medicaid, and HIPAA compliance guidelines in relation to billing, collections, and PHI information.
- Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations
- Conduct research to ensure all insurance, demographic, and eligibility information is obtained and entered into the system accurately.
- Evaluate patient accounts for existing insurance coverage.
- Identifying and resolving Payor errors by researching the Payor’s website or contacting the Payor Provider Relations department.
- Obtain and assess all documentation required for eligibility determination.
- Initiate and maintain proper follow-up to ensure timely processing and completion of all mandated applications and accompanying documentation.
- Adhere to internal protocols and contractual obligations as it applies to specific payor requirements.
- Develop system solutions to eligibility engine mapping responses.
- Reviews problematic accounts, and makes recommendations to the Eligibility Supervisor as needed.
- Ability to create reports from the Business Intelligence Report writing application.
- Participate in educational activities and attends weekly staff meetings.
Required Skills
- Excel, create and maintain spreadsheets.
- Proficient in 10 key.
- Exceptional Customer Service.
- Ability to communicate clear and concise information.
- Typing speed of 40 wpm
Required Experience
- 1-3 years of healthcare medical billing experience
- Knowledge of business office procedures
- Knowledge of basic medical coding
- Knowledge of third party operating procedures and practices
- Insurance basics, PPO, HMO, POS, Capitation, Workers Comp, Mva
- Government programs such as Medicare, Medicare HMO, Medicaid, Medicaid HMO, Tricare, Veterans Affairs, Blue Cross Blue Shield Federal
- Certificate or degree in Health Care Management Field strongly recommended.
Millennium Health offers a competitive, comprehensive benefits package.
Millennium Health is an Equal Opportunity/Affirmative Action employer and E-Verify participant. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, gender identity, sexual orientation or protected veteran status
https://www.dol.gov/ofccp/regs/compliance/posters/ofccpost.htm