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Medical Biller

Company: Change Healthcare
Location: Novato
Posted on: January 17, 2020

Job Description:

Transforming the future of healthcare isn't something we take lightly. It takes teams of the best and the brightest, working together to make an impact.

As one of the largest healthcare technology companies in the U.S., we are a catalyst to accelerate the journey toward improved lives and healthier communities.
Here at Change Healthcare, we're using our influence to drive positive changes across the industry, and we want motivated and passionate people like you to help us continue to bring new and innovative ideas to life.

If you're ready to embrace your passion and do what you love with a company that's committed to supporting your future, then you belong at Change Healthcare.

Pursue purpose. Champion innovation. Earn trust. Be agile. Include all.

Empower Your Future. Make a Difference.

Follow up of outstanding A/R all payers and/or including self-pay and/or including resolution of denials. This position is responsible for handling all correspondence related to an insurance or patient account, contacting insurance carriers as needed to get maximum payment on accounts and identify issues or changes to achieve client profitability. Responsible for working EDI transactions and ERA files, including reconciling carrier submissions, edits and rejection reports. Ability to research and resolve accounts appearing on Delinquent Insurance Report, Collection Ledger and Government Payor report as directed by management making appropriate decisions on accounts to be worked to maximize reimbursement.

  • Research and re-bill unpaid claims
  • Research and resolve accounts appearing on Follow-up Reports.
  • Make appropriate decisions and calls to carriers to maximize reimbursement on accounts to be worked.
  • Correct all errors on electronic error reports using all available information.
  • Meet production and quality standards.
  • Assists in identifying current and/or potential billing issues specific to outstanding receivable
  • Presenting data to appropriate parties and partnering to develop resolutions
  • Participates in daily production assignments that will continue to develop understanding and knowledge of processing guidelines and expectations of respective client(s) payer mix
  • Identify any issues or trends and bring them to the attention of management team
  • Work on special projects as assigned

    Minimum Requirements
    • 1+ years of medical billing experience

      Critical Skills
      • M S Office
      • Claims experience; appeals and follow up

        Additional Knowledge & Skills
        • Epic experience a plus
        • Good understanding of the A/R process.
        • Good working Knowledge of Government and various Commercial payer policies and billing guidelines.
        • Capable of meeting daily deadlines with little supervision.

          Education
          • High school diploma or equivalent

            Physical Demands
            • Normal office duties
              Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system!

              Equal Opportunity/Affirmative Action Statement

              Change Healthcare is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, genetic information, national origin, disability, or veteran status. To read more about employment discrimination protections under federal law, read EEO is the Law at and the supplemental information at .

              If you need a reasonable accommodation to assist with your application for employment, please contact us by sending an email to with "Applicant requesting reasonable accommodation" as the subject. Resumes or CVs submitted to this email box will not be accepted.

              Click here to view our pay transparency nondiscrimination policy.

              Change Healthcare maintains a drug free workplace and conducts pre-employment drug-testing, where applicable, in accordance with federal, state and local laws.

Keywords: Change Healthcare, San Francisco , Medical Biller, Healthcare , Novato, California

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