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Riverside, CA
Commercial Insurance Specialist

Commercial Insurance Specialist

AHMC Healthcare

Posted 8 days ago, valid for 21 days

Riverside, CA, US

$23 - $26.3 per hour

Full Time

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Sonic Summary

The job involves performing clerical billing and follow-up functions in a hospital setting.
Candidates must comply with hospital and federal policies regarding billing and claims collection.
Responsibilities include reviewing payor contracts to ensure accurate contractual adjustments.
A high school diploma or equivalent is required, along with knowledge of CPT-4, HCPCs, DRG, and ICD-9 coding.
The position requires a minimum of 2 years of Medicare MediCal billing and follow-up experience.

Overview

Performs various clerical billing and follow up functions, but not limited to items listed in the Performance Criteria.

Responsibilities

Comply with hospital and federal policies and guidelines in the billing and collection of claims. Reviews payor contracts to ensure correct contractual adjustments are posted as per individual payor agreement.

Qualifications

High school diploma or equivalent. CPT-4, HCPCs, DRG, ICD-9 coding knowledge. Minimum 2 years Medicare MediCal billing and follow up experience in a hospital setting.

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