Medical Biller/Coder

Overview Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Shasta Regional Medical Group, affiliated with Shasta Regional Medical Center, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference.

Responsibilities The Biller is responsible for submitting claims to the appropriate intermediaries and to insure that procedures and charges are coded in compliance with all payers including Medi-Cal and/or Medicare regulations. Responsible for obtaining required authorizations necessary for the processing and payment of claims. The Biller is responsible for the follow-up and denial management as necessary for final resolution. Responsible to identify the various types of diagnosis and procedures codes (ICD10, CPT, HCPCS, DRG) as they relate to reimbursement. Communicates clearly and efficiently by phone and in person with clients and staff members. Maintains productivity standards and reports. Obtains updated demographic information and all necessary information needed to comply with the various Government Programs billing requirements. Operates computer to input follow up notes and retrieve collection and patient information. Maintains proficiency in Medical Terminology

Qualifications EDUCATION, EXPERIENCE, TRAINING

1. Previous Billing Experience within a Clinic/Medical Group Business Office Required2. Previous experience with government programs and collections preferred3. Experience with Rural Healthcare billing preferred4. Experience with EMR/Practice Management billing software required5. Knowledge of medical terminology6. Effective written and verbal communication skills7. Ability to prioritize needs to meet required timelines8. Analytical and problem-solving skills9. Customer Services experience required10. High School Graduate or GED Equivalent Required (effective 4/1/14 for all new hires)

Pay Transparency Shasta Regional Medical Group offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $23.00 to $26.22. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

Employment Status Full Time Shift Days Equal Employment Opportunity Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights:  https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

Privacy Notice Privacy Notice for California Applicants:  https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf