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Kelly Services, Inc.

Medical Code Biller / Billing Analyst

Kelly Services, Inc. - Los Angeles, CA


Client Eligibility
Location: Sylmar,CA / Pacoima, CA
Pay rate: $17-20 hourly
6 month contract - might lead up to temp to hire position.
Please submit resume to: [Click Here to Email Your Resumé] \t
Looking for a problem solver, someone detail oriented that once trained can run things are their own. Very strong with Excel and has worked with Access.
Denials have grown and that is why they are so busy. Collections experience is helpful. MUST have min 2 recent experience with CAS Coding.

-\tPerform monthly eligibility checks for Medi-Cal/CalMedi-Connect (CMC)/Medicare/Other Healthcare Insurances (OHC)
-\tPrepare monthly eligibility list-Report 1108
-\tTrack Cal Medi Connect/Other Health Care clients on a monthly basis
-\tUpdate client Pay Sources in Electronic Health Record System (Welligent)after Medi-Cal eligibility run-Twice per month
-\tUpdate Pay Source information, as needed
-\tTrack -No Recorded Eligibility-- (NRE) list, taken from Eligibility review
-\tReview eligibility results, trends and payor changes with Supervisor

Posting Payments in Welligent (Electronic Health Record System)
-\tProcess OHC/CMC/Medicare payments
•Including manual entry of Cas Codes
-\tUpdate Emdeon records (Emdeon is a claims clearinghouse)
-\tTransfer balances and create Medi-Cal claims once payments are processed
Payor Collections
-\tContact OHC/CMC/Medicare payors, as needed, to conduct collection activities. This may include phone calls and/or letters
-\tMaintain a log of all Collection activities and communication on a weekly basis for OHC/CMC/Medicare payors
-\tReport collection results to Supervisor on a weekly basis

Void Claim Requests
-\tAnalyze Void Requests and review County of Los Angeles Department of Mental Health (DMH) SIFT/AVATAR data and Welligent data, analyze risks and claim aging
-\tReview Welligent report on a weekly basis
-\tProcess Void Requests in Welligent/IBHIS (DMH Electronic Health Record System)
-\tReset the Claims in Welligent, based on the next action to be taken with each claim
-\tCommunicate Void Request issues and trends with Supervisor on a weekly basis

Accounting Log
-\tEnter OHC/CMC/Medicare payments into the Accounting Log
-\tPayments will be entered by payment date, by program, by client

Job Requirements
Looking for a problem solver, someone detail oriented that once trained can run things are their own. Very strong with Excel and has worked with Access.
Denials have grown and that is why they are so busy. Collections experience is helpful. MUST have min 2 recent experience with CAS Coding.

17 days 5 hours ago

Kelly Services, Inc.

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Medical Code Biller / Billing Analyst Kelly Services, Inc. - Los Angeles, CA, United States

   

Location: Los Angeles, CA

Company Profile:
William Russell Kelly founded the company in Detroit on October 7, 1946, operating as the Russell Kelly Office Service. He is widely credited with pioneering the modern temporary help industry. The company was renamed Kelly Girl Service in 1957, and it became Kelly Services® in 1966 to reflect the growing services of the company. Established in the International Marketplace In 1968, Kelly Services opened its first international office in Toronto, Ontario, Canada. The company’s first European office opened in 1972 in Paris, France. Today, we offer a full suite of outsourcing, consulting, and staffing solutions—delivered globally from over a 70-year heritage of dynamic talent innovations. Total Sales Revenue in 2016 was $5.3 billion. Fortune U.S. Rank Kelly Services is currently ranked 490 in the Fortune 500 list of America’s largest companies.