Description
A leading hospital in Los Angeles is seeking a detail-oriented Managed Care Medical Billing Specialist to join its revenue cycle team. This role is responsible for ensuring accurate and timely claim submission, follow-up, and resolution of managed care billing issues. The ideal Managed Care Medical Billing Specialist will have strong knowledge of medical billing processes, payer requirements, and accounts receivable follow-up within a hospital environment.


Key Responsibilities:



+ Demonstrate the ability to determine the accuracy of pertinent medical, coding, eligibility, authorization, demographic, and financial information, and make any required corrections.

+ Determine payer documentation requirements for payment and ensure all necessary supporting documentation is available for claim submission.

+ Transmit and submit clean claims to payers within three working days of receipt, while maintaining a productivity s...