Clinic Biller

Submit claims to intermediaries and ensure procedures and charges are coded in compliance with Medi-Cal and Medicare regulations. Obtain required authorizations for claim processing and manage follow-up and denials for final resolution. Identify diagnosis and procedure codes (ICD9, CPT, HCPCS, DRG) relevant to reimbursement and maintain productivity standards. Communicate clearly with clients and staff while obtaining updated demographic information for government program billing requirements. Operate computer systems to input follow-up notes and retrieve collection and patient information. Requires previous billing experience within a hospital business office and knowledge of medical terminology.