About us
We are an expanding urgent care network with 13 locations across Orange County. Our aim is to cultivate a dynamic work atmosphere that fosters teamwork, while allowing individuals to maintain autonomy over their roles and inspiring creativity. We are looking for an individual that is driven, has a strong work ethic and is highly motivated.
Summary:
The Urgent Care Billing and Coding Liaison is responsible for ensuring accurate and timely billing and coding processes within the urgent care facilities. This role serves as a bridge between clinical staff, third-party billing company, and coding specialists to facilitate efficient revenue cycle management.
Duties:
- Collaborate with clinic Leads and Area Managers to gather necessary information for accurate billing of services rendered in the urgent care facility.
- Provide support to the third-party billing company at the account level as required.
- Review EOBs, remits, and payer correspondence during account follow-up, escalating identified issues for prompt resolution.
- From time to time, input and verify patient demographics and eligibility.
- Investigate and resolve claim denials by identifying root causes, and correcting errors.
- Research patient & insurance inquiries called into the billing office.
- Evaluate patient accounts and resolve outstanding balances, identifying and escalating problem accounts as necessary.
- Provide training and support to clinical staff on documentation requirements and billing practices to promote accurate billing practices.
- Communicate with payors, conducting timely follow-ups through direct phone calls.
- Prepare effective appeals for various denials, including contract underpayments, billing issues, and payor errors.
- Stay informed about payer policies and contract rates, resolving accounts with discrepancies to ensure payment compliance.
- Identify patterns, trends, and root causes in collections workflow and payer performance, reporting findings to management for strategic decision-making.
- Update accounts with proper documentation actions taken to secure payment and resolve issues.
- Collaborate with patients and guarantors to address payer requests and discrepancies, facilitating the prompt resolution of pending claims.
- Assist management in completing special accounts receivable projects as needed.
- Perform other assigned duties and functions.
Requirements:
- Minimum of 3 years of coding experience.
- Understanding of networks, IPAs, HMOs, PPOs, PCPs, and contract affiliations.
- Strong knowledge of Claims and EOBs.
- Experience in analyzing coded data and presenting findings.
- High level of professionalism and effective communication skills for interaction with physicians, patients, and executives.
- Ability to complete projects with minimal management intervention.
- Knowledge of collection techniques and laws.
- Team-oriented with effective written and verbal communication skills.
- Analytical skills and knowledge of healthcare billing.
- Experience with Windows-based applications, including Excel, Word, Outlook, and Teams.
- Knowledge of the eClinical Works or Allscripts EMR system is a plus
Job Type: Full-time
Pay: $25.00 - $28.00 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid sick time
- Paid time off
- Vision insurance
Weekly day range:
Work setting:
Education:
- High school or equivalent (Preferred)
Experience:
- CPT coding: 2 years (Required)
- Medical collection: 2 years (Required)
- Claims and EOBs: 2 years (Required)
- IPAs, HMOs, PPOs, PCPs: 2 years (Required)
Ability to Relocate:
- Anaheim, CA 92804: Relocate before starting work (Required)
Work Location: In person