Medical Billing Specialist/Accounts Receivable/Collections Specialist
A.P.R., Inc. (AlphaProTemps)
Job Description
Job Description
Medi-Cal Billing Specialist
Requirements
- High School Diploma or GED required.
- 1–3 years of experience in hospital accounts receivable, medical billing, or healthcare collections .
- Knowledge of hospital billing processes, CPT/ICD codes, DRG reimbursement, and UB-04 institutional claims .
- Experience working with Medi-Cal, Medicare, and commercial payers .
- Experience with insurance eligibility verification through payer portals and customer service.
- Strong knowledge of claim denials, underpayments, appeals, and payment variances.
- Proficiency with hospital billing systems and Microsoft Office.
- Strong communication, analytical, and attention-to-detail skills.
Responsibilities
- Review AR aging reports and prioritize collection activities.
- Follow up with insurance carriers regarding outstanding balances.
- Verify insurance eligibility through payer websites and portals.
- Follow up on UB-04/institutional claims .
- Investigate and appeal denied or underpaid claims.
- Resolve billing discrepancies with internal departments.
- Document all account and collection activities accurately.
- Maintain compliance with HIPAA, hospital policies, and applicable regulations
AlphaProTemps is specialized in providing "best-in-class" professional staff augmentation services. These recruiting directives include temporary labor, contract sourcing, professional & technical niches, vendor-on-site, and managed service programs.
Company Description
AlphaProTemps is specialized in providing "best-in-class" professional staff augmentation services. These recruiting directives include temporary labor, contract sourcing, professional & technical niches, vendor-on-site, and managed service programs.
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