<p>We are looking for a dedicated Medical Biller II to join our healthcare team in Los Angeles, California. The Medical Biller II will play a vital part in ensuring accurate and timely collection of payments while resolving discrepancies to maintain the integrity of patient accounts. The ideal person for the Medical Biller II role must have expertise in medical billing, collections, and insurance processes.</p><p><br></p><p>Responsibilities:</p><p>• Review submitted claims to confirm accuracy and ensure they are sent to the appropriate payer.</p><p>• Investigate correspondence and denial details to identify payment obstacles and take corrective action.</p><p>• Analyze patient accounts to verify proper billing and resolve discrepancies, including reversing balances when necessary.</p><p>• Resubmit corrected claims and prepare appeals in compliance with payer guidelines, ensuring supporting documentation is included.</p><p>• Process adjustments for unbillable charges and escalate cases to the supervisor when required.</p><p>• Incorporate authorization details in claim submissions and follow procedures to secure retroactive approvals if needed.</p><p>• Maintain consistent productivity and quality standards while meeting deadlines.</p><p>• Identify and address areas of improvement to streamline billing and collection processes.</p>
