Medical Billing Specialist Details

Medical Billing Specialist

NaphCare, Inc. - Victorville, CA

Employment Type : Full-Time

NaphCare has an excellent opportunity for an On-Site Financial Specialist to join our team at Federal Correctional Complex (FCC) Victorville in Victorville, CA. The On-Site Financial Specialist will review all authorizations for completeness, requests and consolidate hospital and physician claims, provide accurate estimates and monthly fiscal reconciliation, track and report catastrophic cases, and report open and closed obligations each month. Additionally, this position will aid in managing relationships with various providers while also multitasking to promote accuracy and timely distribution of medical claims.

NaphCare partners with correctional facilities to provide proactive, patient-focused healthcare. We recognize that we serve a unique and diverse patient population, and our onsite teams take pride in bringing excellence in care to a population in great need. Be part of a world-class team of professionals who are revolutionizing correctional healthcare.

Responsibilities:

• Pursue claims for all authorizations.
• Utilize medical terminology knowledge to review medical records and authorization scenarios.
• Properly organize and designate claims as “ready-to-bill”.
• Receive statements and ensure that authorizations have been loaded to match the corresponding statements.
• Demonstrate an ability to prioritize, meet deadlines, and multitask while promoting efficiency and effectiveness within daily workload.
• Exhibit a high comfort level in working with large volumes of data.
• Demonstrate a strong attention to detail and a commitment to customer service.
• Provides support to the medical scheduling department, including coverage when needed.
• Additional duties and specific projects as assigned.

Requirements:

• High School Diploma or higher and at least two years of recent experience in claims processing.
• Working knowledge of medical terminology and medical billing.
• Specific experience working with UBs and 1500s is necessary to be successful within this position.
• Proficiency in Microsoft Office Suite and strong written and verbal communication skills are also required.

Equal Opportunity Employer: disability/veteran

Outstanding Benefits Package:

NaphCare offers competitive benefits, including health, prescription, dental, Employment Assistance Program (EAP) services, vision and 401(k). NaphCare offers term life insurance at no cost to the employee and provides PTO, paid holidays and an array of voluntary benefits. Employees enrolled in our health insurance program receive prescriptions free of charge when filled at our in-house pharmacy or mail order program.