Medical Billing Support Services Associate Job at Robert Half (Los Angeles)

Medical Billing Support Services Associate

The Medical Billing Support Services Associate I coordinate and performs all asp...

Location

United States , Los Angeles

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

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

Job Responsibility

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
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

What we offer

medical
vision
dental
life and disability insurance
401(k) plan

Associate Medical Risk Consultant

Berkshire Hathaway Specialty Insurance is seeking Associate Medical Risk Consult...

Location

United States , Indianapolis

Salary:

65000.00 - 85000.00 USD / Year

Berkshire Hathaway Specialty Insurance

Expiration Date

Until further notice

Requirements

1+ years of medical stop loss support experience, preferred
Knowledge of medical billing codes (ie: ICD10, CPT, HCPCS, REV, NDC)
Experience in Medical service industry (ie: medical office staff, acute care setting, home health care, insurance, stop loss)
Ability to work in high volume, rapid response environment
Ability to multi-task and shift priorities as needed
Exceptional attention to detail and strong organizational skills are imperative
Excellent verbal and written communication skills
Demonstrated excellence with Microsoft Excel
Experience with Excel
PDFs

Job Responsibility

Assist in managing the Employer Stop Loss referral mailbox
Assist with new and renewal group set up in Medical Underwriting ESL Office (Stop Loss Software) including uploading documents and entering data for identified risks
Manage Renewal Assignment report for the Medical Risk Consultant Team
weekly update of Renewal Assignment report with group sale notifications/data
Run various reports for nurses, auditors, and management as requested
Perform data review to identify pertinent data for medical risk reviews (ie: various Excel functions including pivot tables and charts
formulas
data cleaning, data sorting
report preparation for reviews)
Upload pertinent documents into AMS Profiler

What we offer

Comprehensive Health, Dental and Vision benefits
Disability Insurance (both short-term and long-term)
Life Insurance (for you and your family)
Accidental Death & Dismemberment Insurance (for you and your family)
Flexible Spending Accounts
Health Reimbursement Account
Employee Assistance Program
Retirement Savings 401(k) Plan with Company Match
Generous holiday and Paid Time Off
Tuition Reimbursement

Fulltime

Charge Integrity Associate 1, BHPC Support

Primary responsibility is to coordinate billing services. Responsible for physic...

Location

United States , Coral Gables

Salary:

17.79 - 21.53 USD / Hour

Baptist Health

Expiration Date

Until further notice

Requirements

High School Diploma, Certificate of Attendance, Certificate of Completion, GED or equivalent training or experience required
2 Years of health care experience
Knowledge of Microsoft Systems Word, Excel, Power Point and Access is a must
Must be detail-oriented team player with excellent written and communication skills
Background in coding experience in other released areas such as collections, refunds, and reviews of claims and understanding of Charge Review responsibilities preferred
Experience in Medical Record review for documentation and bill auditing required
Proficient in English and Spanish
Able to foster/maintain a strong professional relation with physicians, hospital leaders, staff and patients
Must be able to communicate effectively with other departments in order to resolve pending/missing information on encounters to expedite the timely transmission to payers
Excellent Time- Management Skills

Job Responsibility

Coordinate billing services
Responsible for physician billing services
Responsible for physician billing services in handling payments
Provide diagnostic and procedural codes to individual patient health information for data retrieval, analysis and claims processing
Responsible for entering patient encounters to the practice management billing application
Communicates with various teams within the organization
Understanding of ICD-10, CPT and associate modifiers to successfully process encounters
Staying up to date with CMS guidelines
Responsible to maintain and clearing worklist within a timely manner

Fulltime

Legal Assistant

We are seeking a detail-oriented and compassionate Legal Assistant to join a bus...

Location

United States , Dallas

Salary:

Not provided

Robert Half

Expiration Date

Until further notice

Requirements

High school diploma or equivalent required
associate degree or paralegal certificate preferred
2+ recent years of legal assistant, administrative, or law firm experience preferred
Personal injury law experience strongly preferred
Strong written and verbal communication skills
Excellent organizational skills and attention to detail
Proficiency with Microsoft Office and legal case management software
Ability to manage multiple priorities and meet deadlines
Professional demeanor and strong client service skills
Experience working with personal injury case files from intake through settlement or trial

Job Responsibility

Provide administrative support to attorneys and legal staff in personal injury matters
Open, organize, and maintain physical and electronic case files
Communicate with clients, medical providers, insurance adjusters, and outside parties
Schedule appointments, depositions, meetings, and court-related deadlines
Draft, revise, proofread, and format correspondence and legal documents
Assist with client intake, gathering case information, and obtaining records
Request, track, and organize medical records, bills, and other case documentation
Prepare demand packages and other supporting materials as directed
Manage calendars, deadlines, and follow-up tasks to ensure timely case progression
File, scan, copy, and upload documents into the case management system

What we offer

Medical, vision, dental, and life and disability insurance
Enrollment in company 401(k) plan for contract/temporary professionals

Fulltime

Rehabilitation Sales Specialist

Based on patented technology developed at MIT, Harvard Medical School and by the...

Location

United States

Salary:

100000.00 - 110000.00 USD / Year

Myomo

Expiration Date

Until further notice

Requirements

3+ years' experience in a clinical sales or business development role with a strong preference toward medical device or other relevant industry background
Based in Florida with proximity to a major airport, as well as ability to accommodate frequent travel (Up to 75%)
Tech-forward orientation and advocacy along with the ability to quickly train and become proficient with Myomo's products to adequately support field-based clientele
Strong motivation, drive, and work ethic with an emphasis on both results and clinical-informed account management, customer service, and education/ patient care
Bachelor’s Degree, preferably in a rehab science

Job Responsibility

Grow the network of clinics that refer their patients for a MyoPro
Grow referrals and sales of MyoPro’s from clinics and clinicians
Execute go-to-market strategies within targeted customer segments, prospecting and acquiring new qualified therapists and physicians, leading business development and onboarding for all Direct Bill key contacts
Identify sales opportunities, develop selling strategies and present to key decision makers to achieve product adoption
Drive product interest and engagement for therapists, physicians, key decision makers, and other referrals sources via holding in-services and/or other clinical showcases and presentations
Manage the business-to-business sales process and act as the liaison between the referring facility and the RMS RMO or COEs in screenings/evaluations as needed
Close Collaboration with the RMS or COEs to handoff the relationship for continued product education/training
Generate and analyze competitive market analyses, understanding and monitoring trends and competitor data to identify business development opportunities
Identify influential groups and associations and conduct quarterly presentations
Assist RMS in managing existing account relationships and status including retention, ensuring provision of customer service and support to troubleshoot either clinical or technical challenges, delegating if necessary

Fulltime

Patient Access Liaison

The Patient Access Liaison (PAL) is a field-based patient access and reimburseme...

Location

United States , Oklahoma City

Salary:

158394.00 - 222256.00 USD / Year

Amgen

Expiration Date

Until further notice

Requirements

Doctorate degree OR Master's degree and 2 years of patient services and/or access and reimbursement experience OR Bachelor's degree and 4 years of patient services and/or access and reimbursement experience OR Associate's degree and 8 years of patient services and/or access and reimbursement experience OR High school diploma / GED and 10 years of patient services and/or access and reimbursement experience
Doctorate degree and 2 years of patient services, and/or access and reimbursement, experience OR Master's degree and 4 years of patient services, and/or access and reimbursement, experience OR Bachelor's degree and 6 years of patient services, and/or access and reimbursement, experience

Job Responsibility

Serve as a resource on patient access and reimbursement for infused and specialty therapies
Assist patients, caregivers, and healthcare providers in navigating insurance benefits, prior authorization requirements, and reimbursement processes
Support the identification and resolution of access challenges, including coverage questions, prior authorization barriers, and denied claims
Provide education regarding coding and billing considerations relevant to therapy access
Develop relationships with patients and caregivers through phone, virtual, and in-person engagement
Secure written or electronic patient HIPAA authorization within assigned geography
Assess individual patient needs and provide education and resources that support access to therapy
Educate patients on coverage considerations and the steps required to obtain prior authorization
Provide information regarding co-pay assistance programs, national foundations, and free drug programs when appropriate
Educate physician offices and sites of care on therapy coverage pathways and reimbursement processes

What we offer

Comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts
A discretionary annual bonus program, or for field sales representatives, a sales-based incentive plan
Stock-based long-term incentives
Award-winning time-off plans and bi-annual company-wide shutdowns
Flexible work models, including remote work arrangements, where possible

Fulltime

Patient Access Liaison

The Patient Access Liaison (PAL) is a field-based patient access and reimburseme...

Location

United States , Charlotte

Salary:

158394.00 - 222256.00 USD / Year

Amgen

Expiration Date

Until further notice

Requirements

Doctorate degree
OR Master's degree and 2 years of patient services and/or access and reimbursement experience
OR Bachelor's degree and 4 years of patient services and/or access and reimbursement experience
OR Associate's degree and 8 years of patient services and/or access and reimbursement experience
OR High school diploma / GED and 10 years of patient services and/or access and reimbursement experience
For Level 6: Doctorate degree and 2 years of patient services, and/or access and reimbursement, experience
OR Master's degree and 4 years of patient services, and/or access and reimbursement, experience
OR Bachelor's degree and 6 years of patient services, and/or access and reimbursement, experience

Job Responsibility

Serve as a resource on patient access and reimbursement for infused and specialty therapies
Assist patients, caregivers, and healthcare providers in navigating insurance benefits, prior authorization requirements, and reimbursement processes
Support the identification and resolution of access challenges, including coverage questions, prior authorization barriers, and denied claims
Provide education regarding coding and billing considerations relevant to therapy access
Develop relationships with patients and caregivers through phone, virtual, and in-person engagement
Secure written or electronic patient HIPAA authorization within assigned geography
Assess individual patient needs and provide education and resources that support access to therapy
Educate patients on coverage considerations and the steps required to obtain prior authorization
Provide information regarding co-pay assistance programs, national foundations, and free drug programs when appropriate
Educate physician offices and sites of care on therapy coverage pathways and reimbursement processes

What we offer

Comprehensive employee benefits package, including a Retirement and Savings Plan with generous company contributions, group medical, dental and vision coverage, life and disability insurance, and flexible spending accounts
A discretionary annual bonus program, or for field sales representatives, a sales-based incentive plan
Stock-based long-term incentives
Award-winning time-off plans and bi-annual company-wide shutdowns
Flexible work models, including remote work arrangements, where possible

Fulltime

Associate Director Access & Reimbursement

The Associate Director of Access & Reimbursement is responsible for leading the ...

Location

United States

Salary:

210000.00 - 250000.00 USD / Year

The Muse

Expiration Date

Until further notice

Requirements

Bachelor's Degree required, in Business, Health Policy, or Life Sciences preferred
AAPC coding courses / or equivalent a plus
10+ years of relevant experience in the pharmaceutical healthcare sector
5+ years in the vaccine payer space
Experience in working with US payers
Experience in billing /coding for both buy & bill products (medical) & pharmacy billing PBM (drug benefit) (strongly preferred)
Strong leadership skills and demonstrated ability to lead cross functionally
Deep understanding of Commercial, Medicare, and Medicaid and how it pertains to Influenza vaccine coverage and payment
A proven track record of successful account management and executing national strategies
Demonstrated results in the area of GPO, health system, retail, wholesaler/distributor with vaccine reimbursement vs general Pharma

Job Responsibility

Enact key strategic initiatives to help facilitate CSL Seqirus to achieve / exceed specific sales volume, revenue, and profitability targets
Leads CSL Seqirus interactions with all payers. Fosters and develops multi-level and senior relationships to create a foundation for developing a pathway to effectively communicate CSL Seqirus story
Analyze payer access and reimbursement (medical & drug) landscape for near-term and longer-term objectives. Provide insights on the analysis to create change in the organization. Using pareto mentality develops strategies and tactics to ensure positive change. Develops a customized approach for each payer to most effectively influence change. Reports timely feedback regarding account interactions and next steps
With relationship depth and breadth of customer interaction at various (senior management clinical / financial / operational) levels of the customer's organization, builds and maintains relationships with key individuals to enable market access of CSL Seqirus vaccines, developing a favorable environment for pull-through at the national, regional, and local provider levels. Develops and sponsors key programs which address customer needs and enhances the customer value perception of CSL Seqirus
Convinces internal and external stakeholders about the value of the CSL Seqirus Customer Experience vision
Acts as the voice of the customer with internal stakeholders to build Seqirus' acumen on customer challenges
Develops and executes business solutions at customers that help enhance CSL Seqirus' partnership within CSL Seqirus primary channels
Provides expertise to the organization as an SME in regards to reimbursement at national and regional level and ensures CSL Seqirus products have market access at all National and select Regional health plans and PBMs. Has effective strategies in place when there are coverage issues by being able to connect with key payer decision makers immediately to fix coverage issues
Works with internal and external stakeholders to enhance CSL Seqirus position in the market
Identifies areas of opportunity for CSL Seqirus growth and directs the organization to implement in an efficient manner

What we offer

Health Insurance
Dental Insurance
Vision Insurance
Life Insurance
Short-Term Disability
Long-Term Disability
FSA
HSA
Mental Health Benefits
Adoption Leave

Fulltime

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Medical Billing Support Services Associate

Job Description

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