Back to Search

Healthcare Billing and Collections Specialist

Date Posted: 8/5/2022

Apply Now

Job Description

Ledgent is partnering with an influential non profit organization to fill an immediate need! We are looking for a Healthcare Billing and Collections Specialist to start as soon as possible through mid October. This is an excellent opportunity to make a difference in a big way! Apply now. 

RESPONSIBILITIES:

  • Complete filing and follow-up of daily charge entry and submission of claims to health plans and IPAs, either electronically or by hard copy billing
  • Ensure that all conditions for claim submission have been satisfied, including but not limited to: accurate charges and financial class; authorization/certification information; demographic and insurance information; ICD-10 and CPT-4 coding; patient insurance eligibility and benefit coverage.
  • Submit all claims to clearinghouse on a timely basis.
  • Compile and generate reports as directed.
  • Understand and apply the Sliding Fee Discount Program as appropriate.
  • Stay informed of changes in contracts, billing requirements and insurance types within area of responsibility; maintain knowledge of publicly funded programs, grants and third party insurance contracts including My Health LA, Medicare, Medi-Cal, managed care plans, PPOs, and HMOs. Stay current with legal and regulatory changes, and local and national trends, in coding.
  • Understand and apply the Sliding Fee Discount Program as appropriate.
  • Achieve and maintain days in A/R at best in class standards
  • Address denials and resubmit claims as appropriate
  • Work and submit all levels of appeals
  • Post payments
  • Follow-up with insurance carriers on unpaid claims until paid by correcting billing errors and resubmitting claims, contacting patients, contacting insurance plans, determining if a claim is a hardship case and what classification code or description should be assigned.
  • Submit and follow-up on patient monthly statements; research patient inquireies.
  • Evaluate accounts to determine any write-offs or corrections required, including duplicate charges
  • Maintain current working knowledge of eClinicalWorks billing module.
  • Maintain strictest confidentiality; adhere to all HIPAA guidelines/regulations.
REQUIREMENTS:
  • High school diploma or GED preferred 
  • 2+ years of direct medical billing experience preferred 
  • Dental and behavioral health services coding experience preferred
  • Experience with eClinicalWorks or a similar electronic health record preferred (will train on eCW).

 

We are an equal opportunity employer and make hiring decisions based on merit. Recruitment, hiring, training, and job assignments are made without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, or any other protected classification. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.
To apply please email your resume to asmarker@ledgent.com

Apply Now Send to a Friend

Job Snapshot

  • Employee Type:Full-Time
  • Location:Los Angeles, CA
  • Job Type:Accounting
  • Experience:Not Specified
  • Education:Not Specified
  • Date Posted:8/5/2022
  • Contact: Angela Smarker (310) 201-0092
  • Pay Range: $20.00 - $25.00 Hourly
Get Job Alertsby Email
  • Receive alerts with new job opportunities that match your interests
  • Receive relevant communications and updates from our organization

Sign Up Now


Job Reference: JO-2208-171319