Medical Billing Support Services Associate

The Medical Billing Support Services Associate I coordinate and performs all aspects of the processing of cash receipts from automated and manual payers in accordance with training materials, scripts, and standard operating procedures. Position also performs a variety of duties which may include reviewing overpayments, credits and recoupments. Making phone calls and/or using payers web portals to check patient eligibility or confirming status of pending recoupments. This role is a Hybrid Remote role. Candidate must live with in Los Angeles County. Essential Duties: • Understand the practice billing and collection system and process requirements for the automated and manual cash posting, batch balancing and reconciliation of cash receipts in the insurance billing process. • Researches and analyzes un-posted cash on hand and unapplied cash to ensure timely posting and resolution. • Investigate unapplied cash receipts and resolve or escalate in a timely manner to lead or supervisor. • Reverses balance to credit or debit if charges were improperly billed. • Contacts insurance carriers as necessary to determine correct payment application. • Reviews correspondences related to refunds and or recoupments. Takes the necessary actions such as issuing a refund request or sending a dispute/appeal to the payer. • Responsible for evaluating credit balances and ensuring that refunds are issued to the appropriate payer in a timely and accurate manner. • Work with Finance and other Revenue Cycle Departments to optimize the cash posting, balancing and reconciliation process. • Communicates issues related to payment posting and refunds from payers to management. • Updates correct payer and resubmits claims to the payers. • Consistently meets/exceeds productivity and quality standards. • Cross trained and performs billing processes such as charge entry, insurance verification of eligibility and ensuring correct payer is billed, reviewing, and resolving billing edits from worklists. • Cross trained and performs customer service duties as such as answering patient phone calls, patient email inquiries or division email inquiries related to patient balances. • Contacting insurance payers on behalf of the patient and or with the patient on the call to resolve patient responsibility concerns. Review and resolve self-pay credit balances. • Special projects assigned by leadership for example annual audits, escheatment reviews, payer projects, compliance monthly audits. • Special billing and collections for LOAs. • Special billing and collections for Case Rates. • Special billing and collections for Embassy Services. • Performs other related duties as assigned by management team.

Medical Billing, Medical Collections, Medical Claims, HMO PPO, Medi-Cal, EMR - Electronic Medical Records, Medical Appeals, Medical Denials

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Los Angeles, CA
onsite
Contract / Temporary to Hire
24.96 - 29.97 USD / Hourly
The Medical Billing Support Services Associate I coordinate and performs all aspects of the processing of cash receipts from automated and manual payers in accordance with training materials, scripts, and standard operating procedures. Position also performs a variety of duties which may include reviewing overpayments, credits and recoupments. Making phone calls and/or using payers web portals to check patient eligibility or confirming status of pending recoupments. This role is a Hybrid Remote role. Candidate must live with in Los Angeles County. Essential Duties: • Understand the practice billing and collection system and process requirements for the automated and manual cash posting, batch balancing and reconciliation of cash receipts in the insurance billing process. • Researches and analyzes un-posted cash on hand and unapplied cash to ensure timely posting and resolution. • Investigate unapplied cash receipts and resolve or escalate in a timely manner to lead or supervisor. • Reverses balance to credit or debit if charges were improperly billed. • Contacts insurance carriers as necessary to determine correct payment application. • Reviews correspondences related to refunds and or recoupments. Takes the necessary actions such as issuing a refund request or sending a dispute/appeal to the payer. • Responsible for evaluating credit balances and ensuring that refunds are issued to the appropriate payer in a timely and accurate manner. • Work with Finance and other Revenue Cycle Departments to optimize the cash posting, balancing and reconciliation process. • Communicates issues related to payment posting and refunds from payers to management. • Updates correct payer and resubmits claims to the payers. • Consistently meets/exceeds productivity and quality standards. • Cross trained and performs billing processes such as charge entry, insurance verification of eligibility and ensuring correct payer is billed, reviewing, and resolving billing edits from worklists. • Cross trained and performs customer service duties as such as answering patient phone calls, patient email inquiries or division email inquiries related to patient balances. • Contacting insurance payers on behalf of the patient and or with the patient on the call to resolve patient responsibility concerns. Review and resolve self-pay credit balances. • Special projects assigned by leadership for example annual audits, escheatment reviews, payer projects, compliance monthly audits. • Special billing and collections for LOAs. • Special billing and collections for Case Rates. • Special billing and collections for Embassy Services. • Performs other related duties as assigned by management team.
2026-01-02T18:48:54Z

Medical Billing Support Services Associate Job in Los Angeles, CA | Robert Half