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Medical Biller
Ref No.: 17-04083
Location: Costa Mesa, California
Job Description:
The Government Biller/ Collector AR Specialist is responsible for a variety of functions: The follow-up of accounts receivable and collections; which includes but is not limited appealing wrong denials, corrections of claims, review of the LCD and NCD coverage guidelines and all billing in accordance with Government guidelines, payment validation, denial resolution, and a strong working knowledge of COB & MSP rules.
· Two (2) to (5) years of experience in Medicare billing (UB04) & collections in a hospital setting for both Inpatient and Outpatient services.
· Knowledge of the CMS & Medicare programs and guidelines including MSP, overlap, 72 hour rule, and carved out services.
· High School Diploma and some college preferred.
· Ability to multi-task.
· Knowledge of Government billing requirements, appeals process, overlap review, resolution of MSP related denials, Medicare EOB review, APC, OPPS and DRG reimbursement and program guidelines.
· Must have 2-5 year experience in a Hospital business office environment.
· Previous Billing Experience on UB04
· At least 2 years' experience in the use of Medicare MAC/FISS DDE system
· Basic office skills, letter writing, type 45 wpm, 10-key, High volume Outbound Calls, self-motivator, team player, flexible, dependable and strong customer service and/or billing experience.

Qualifications:
· Basic background with patient accounting systems
· Basic knowledge of Third Party Payers (Non-Government and Self Pay)
· Knowledgeable of CPT/HCPCS/ICD9 coding and Medical Terminology as pertains to reimbursement methodology for Medicare.
· HS Diploma
· Previous Billing Experience and CRT
· Experience in an Acute Hospital business office environment
· Government Biller Experience