TriasMD

Medical Biller

TriasMD  •  $23 - $35/hr  •  Newport Beach, CA (Hybrid)  •  3 hours ago
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Job Description

Job Location: Newport Beach, CA 92660,

Position Type: Full Time,

Salary Range: $23.00 - $35.00 Hourly,

Job Shift: Day, TriasMD, the parent company of DISC Surgery Centers, is seeking an experienced Medical Biller to join our Revenue Cycle team. This is a hybrid position and should be able to be on-site at our Newport Beach, CA office when needed. This role is responsible for timely and accurate facility billing for personal injury (PI) cases across our seven ambulatory surgery centers.

This role will oversee the end-to-end billing process, from coding completion to claim packet submission, payment posting, and comprehensive account documentation. This position will work closely with coding teams, surgery center staff, lien vendors and attorneys, to resolve billing and documentation issues and support timely reimbursement.

In this role, you will

  • Enter and validate charges in EMR system and generate accurate claims
  • Prepare and submit complete PI lien claim packets within required timelines.
  • Identify and correct billing, documentation, and account discrepancies.
  • Review and resolve rejected or returned claims and lien packets.
  • Communicate with lien vendors, attorneys, and external partners regarding billing and account inquiries.
  • Post PI payments and approved adjustments accurately in the EMR system
  • Review EOBs and payment documentation to identify reimbursement discrepancies.
  • Maintain accurate account notes, submission records, communications, and payment documentation.
  • Collaborate with internal team members and Revenue Cycle leadership to resolve issues and improve billing processes
  • Perform other duties as assigned.

Qualifications: Required Qualifications

  • 3 years of healthcare billing or revenue cycle experience
  • Strong knowledge of healthcare billing and revenue cycle workflows
  • Familiarity with personal injury, lien billing, and claim packet preparation
  • Strong knowledge of CPT and ICD-10 codes, account reconciliation, payment documentation and posting
  • Ability to research and resolve complex billing and documentation discrepancies
  • Strong communication skills, with the ability to speak professionally with attorneys, lien vendors and other external partners
  • Attention to detail and ability to manage multiple accounts independently
  • Proficiency in Microsoft Office products

Preferred Qualifications

  • Experience with attorney-related claims or reimbursement models.
  • ASC, PI or lien billing experience
  • Associate or bachelor’s degree
  • Relevant revenue cycle certification such as: Certified Professional Coder (CPC), Certified Professional Biller (CPB) or Certified Revenue Cycle Representative (CRCR)

Compensation: $23.00 - $35.00/hour

Why Should You Work Here

  • Nationally Recognized Surgeons: Join a team of surgeons with national recognition in the fields of spine and sports medicine.
  • Leader in Spine and Sports Medicine: Be part of an organization that leads the way in advancements in spine and sports medicine.
  • Opportunity for Growth: Experience professional growth in a dynamic and growing healthcare environment.

TriasMD is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex including sexual orientation and gender identity, national origin, disability, protected Veteran Status, or any other characteristic protected by applicable federal, state or local law.

TriasMD

About TriasMD

TriasMD is a physician-first management company dedicated to building a network of high-performing ambulatory surgery centers (ASCs). TriasMD positions these facilities to thrive by recruiting and expanding patient access to top medical talent, investing in innovative technologies and infrastructure, collaborating with insurers and healthcare institutions, and standardizing quality assurance for complex outpatient procedures through business intelligence and analytics. As a result, TriasMD’s ASCs deliver superior care and experiences while reducing costs for patients, providers and payors alike.

Industry
Healthcare & Social Services
Company Size
11-50 employees
Headquarters
Newport Beach, California
Year Founded
2018
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