Billing Specialist I (TEMP) at Cap Diagnostics LLC

Irvine, California, United States -

Full Time

Start Date

Immediate

Expiry Date

07 Oct, 26

Salary

24.0

Posted On

09 Jul, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Customer Service, Medical Billing, Revenue Cycle Management, Xifin, CPT Coding, ICD-10 Coding, Medical Collections, Payment Posting, Denials Management, HIPAA Compliance, Insurance Verification, Explanation Of Benefits Interpretation

Industry

Hospitals and Health Care

Description

Pathnostics is a leading precision diagnostic testing and development company providing solutions for Infectious Disease and Cancer diagnostics that will get patients on the right path. Check out our website to learn more: https://pathnostics.com/ [https://pathnostics.com/]. The Medical Billing Specialist I supports the billing team and the Director of Revenue Cycle by performing a wide range of administrative duties to help Pathnostics maintain accurate, compliant, and timely billing for services rendered. The temporary position is estimated to end on or before January 2027. Available Shift: Monday – Friday, 8:00 am – 4:30 pm PST Pay: $24/hour Full-time, temporary employees at Pathnostics are offered: * 2 weeks PTO + 1 week sick leave, on an accrual basis (after 90 days) * Employee and Dependent Health Insurance * Optional FSA/DCA * Dental, Vision, Life Insurance * Voluntary Pet Care benefit * 401(k) after 90 days * Employee Assistance Program (mental health, child & eldercare issues, etc.) * Wellness and Culture Club programs Candidates Must Have: * At least 2 years’ experience of customer service (phone & email) within the healthcare field, laboratory, or diagnostics industry is highly preferred * At least 1 year of experience with computerized billing systems or Revenue Cycle Management (RCM) software, Xifin or similar is preferred * Ability to adapt to changing procedures, policies, work environment, and responsibilities * Ability to communicate effectively, document, and follow instructions with a high level of accuracy * A patient-first, mission-oriented mindset Other Desired Skills: * Working knowledge of health care billing procedures, documentation, regulations, payment cycles, and standards. * Experience in medical collections, payment posting, medical coding, and denials. * CPT and ICD-10 coding knowledge. * Ability to interpret explanations of benefits. * Out-of-network experience is helpful. Duties: * Answer telephone promptly and in a polite and professional manner. * Handle a high volume of inbound calls in a timely manner. * Follow communication “scripts” when handling different topics. * Investigate and respond to all phone inquiries from patients and clients concerning invoices, pricing, account status, claim status, and eligibility issues. * Secure and enter necessary insurance and demographic information to submit and/or re-bill insurance claims as needed. * Work with appropriate departments or staff to resolve questions and/or issues related to billing, coding, and denials. * Explain patient statements and explanation of benefits including charges, insurance allowable, adjustments, coinsurance, and payments. * Document all patient interactions in the billing system and call logs in a concise, accurate, and timely manner. * Monitors billing messages and places outbound calls. * Comply with all applicable HIPAA policies and procedures. * Resolve unbillable accessions by utilizing various tools available, including contacting clients, patients, and/or sales reps to retrieve missing information and re-education. * Track, monitor, and report billing discrepancies. * Coordinate with an outsourced billing company to implement company policies and procedures as it relates to the billing process. * Address billing-related inquiries from patients, clients, and sales reps received by either inbound phone calls or emails. * Perform collection efforts by obtaining medical records and supporting documents. * Upload medical records and supporting documents to insurance companies’ websites. * Other duties as assigned. Pathnostics is an Equal Opportunity Employer. Pathnostics participates in E-Verify.

Responsibilities

The role involves managing inbound and outbound communications with patients and clients regarding billing, pricing, and claim status. It also requires coordinating with departments and outsourced partners to resolve billing discrepancies and submit insurance claims.