Medical Billing Specialist I (SAN DIEGO)

Golden Hour Data Systems, Inc. was founded in 1997 and is a software, technology, and medical billing company that has been designed for the air medical transportation industry. Our company has experienced well-planned growth with a customer base that reaches across the United States. Please visit our website at www.goldenhour.com.

Compensation and Benefits:
Golden Hour Data Systems offers a very competitive salary as well as an excellent benefits package. Benefits include health insurance, dental, life insurance, AD&D, LTD, and we participate in the benefit premiums. In addition, we offer Flexible Spending, 401k, 15 days a year PTO, 9 paid holidays.

We are currently recruiting for a Patient Financial Services Representative I. This position requires a person that is willing to take on medical billing, collection tasks, and responsibilities within an environment that is dynamic and fast-paced.

o 1-3 years of experience of full scope medical billing and collections
o 1-3 years new claim discovery and submission to all insurances.
o Medical Billing Specialist must have completed high school or equivalent GED
o Continuing education or certificate helpful and preferred
o Experience in emergency medical services, medical dispatching, or patient registration will be helpful

Ideal Candidate Will Possess:
o Good customer service skills
o Solid understanding of the Fair Debt Practices
o Strong interpersonal and communication skills with the ability to communicate at all levels
o Ability to read and understand an EOB
o Able to understand and complete both professional and institutional medical claim form
o Understands working in a team environment for the success of the team
o Ability to utilize PC using word, excel, custom billing software
o Ability to work in a production environment

Responsibilities Include:
o Demographic data gathering
o Verification of insurance
o Claim form processing
o Initiate insurance billings; prepare claims packets and tracers to commercial, PPO, HMO, Champus, Auto, W/C.
o Performs pre-billing sponsor reviews, verify claims for accuracy
o Skip tracing, process mail return
o Screens for clean claims submission pursuant to payer specific guidelines, and billing form requirements.
o Customized appeal letter writing

Candidate Requirements:
o The candidate must be able to provide documentation to support the ability to work in the United States within the federal legal guidelines.