Medical EOB Reviewer
A Hospital in Los Angeles is seeking a Medical EOB Reviewer to support our healthcare revenue cycle team. This Medical EOB Reviewer role is ideal for someone who understands medical billing workflows and can confidently evaluate Explanation of Benefits documents, payment activity, and claim-related paperwork. The Medical EOB Reviewer will help keep billing operations organized, respond to questions from patients and payors, and ensure supporting documentation is handled accurately and on time.
Responsibilities:
• Examine Explanation of Benefits documents to confirm billing accuracy, identify discrepancies, and support compliance with healthcare reimbursement guidelines.
• Manage incoming mail by opening, sorting, and routing EOBs, payments, and related correspondence to the appropriate workflow.
• Log and organize live checks received from insurance payors with a high level of accuracy and attention to detail.
• Obtain authorizations from carriers or provider offices when additional approval is needed to move billing activity forward.
• Address questions from patients, providers, insurance representatives, and internal teams regarding charges, payments, and EOB-related items.
• Compile and submit supporting records required for claims follow-up, billing review, appeals, or other reimbursement activities.
• Maintain clear and organized documentation of reviewed EOBs, authorizations, payment records, and submitted materials.
• Partner with billing, collections, and medical records staff to investigate issues, resolve variances, and keep accounts progressing appropriately.
Qualifications:
• Prior experience in medical billing, hospital billing, collections, or a closely related healthcare revenue cycle role.• Working knowledge of Explanation of Benefits review, payment posting processes, and insurance reimbursement practices.
• Familiarity with handling denials, supporting appeals, and researching claim discrepancies.
• Ability to interpret medical billing details accurately and manage documentation with strong attention to detail.
• Effective written and verbal communication skills for interacting with patients, payors, providers, and internal departments.
• Strong organizational skills with the ability to manage mail, payment records, and claim-related paperwork efficiently.
• Proficiency in maintaining accurate records and meeting deadlines in a fast-paced healthcare environment.
Compensation
$25.00-$29.01 HourlyAbout Us
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