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Medical Biller - Mental Health

Ajilon Pacoima, CA
  • Expired: over a month ago. Applications are no longer accepted.

A large established mental health practice located in the San Fernando Valley is looking to hire an experienced Medical Billing Specialist. Ideal candidate will be a team player, problem-solver, excellent communicator, and diligent about claims, collections, and revenue cycle management. This position is ideal for someone who enjoys multi-tasking, taking on challenges, and who seeks variety.

This is a full-time position Monday-Friday.

Duties and Responsibilities:

  • Reviewing client bills for accuracy and completeness, and obtaining any missing information.
  • Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
  • Following up on unpaid claims within standard billing cycle timeframe.
  • Checking each insurance payment for accuracy and compliance with contract discount.
  • Calling insurance companies regarding any discrepancy in payments if necessary
  • Identifying and billing secondary or tertiary insurances.
  • Reviewing accounts for insurance of client follow-up.
  • Researching and appealing denied claims.
  • Answering all client or insurance telephone inquiries pertaining to assigned accounts.
  • Setting up client payment plans and work collection accounts.
  • Updating billing software with rate changes.
  • Updating cash spreadsheets, and running collection reports.
  • Obtaining referrals and pre-authorizations as required for procedures.
  • Checking eligibility and benefits verification for treatments, hospitalizations, and procedures.
  • Monitor collection efforts by reviewing a computer-generated A/R reports, and follow up on all accounts over 60 days.
  • Resubmit claims to insurance carriers most by insurance portal, some by fax and mail to identified individuals to promote expeditious payments.
  • Evaluate policies and procedures by assessing client accounts recovered in relation to effort, methods, and costs involved.
  • Maintain operations by following policies and procedures for the collection of accounts.
  • Prepare collection reports by accumulating, analyzing and summarizing account information and trends.
  • Minimize losses by referring bad-debt accounts to an outside agency.
  • Prevent losses by notifying appropriate staff and related personnel.
  • Maintain historical records by ensuring that documents are completed and filed according to policy and procedure.
  • Contribute to team effort by maintaining an excellent rapport and cooperative working relationship with all other Symmetry Counseling staff.
  • Cooperate with office administration by assisting with any other necessary projects and assignments as may be required.
  • Update demographics in database:

* Special Projects on an as-need basis.

Job Requirements:

  • Minimum three years’ experience in physician billing and collection environment
  • Above average communication skills both written and oral
  • Ability to work as part of a multi-disciplinary team
  • Knowledge of office procedures and office machinery
  • Effective problem solving and decision-making abilities
  • Solid computer skills are required
  • Strong organizational skills
  • Must be a fast learner, willing to learn, takes initiative, has a passion for helping others and is eager to work and accomplish goals in a timely manner.

Proficiency in the following areas is preferred:

  • Knowledge of insurance guidelines and other payer requirements and systems.
  • Competent use of computer systems, software, and 10 key calculators.
  • Effective communication abilities for phone contacts with insurance payers to resolve issues.
  • Customer service skills for interacting with clients regarding medical claims and payments, including communicating with clients and family members of diverse ages and backgrounds.
  • Ability to work well in a team environment. Being able to triage priorities, delegate tasks if needed, and handle conflict in a reasonable fashion.
  • Problem-solving skills to research and resolve discrepancies, denials, appeals, collections. A calm manner and patience working with either clients or insurers during this process.
  • Knowledge of accounting and bookkeeping procedures.
  • Knowledge of medical terminology likely to be encountered in medical claims.
  • Maintaining client confidentiality as per HIPAA.
  • Ability to multitask.

Benefits Available:

  • Competitive Salary
  • Paid Time Off
  • Health Insurance
  • Paid Holidays
  • 401k

Ajilon

Address

Pacoima, CA
91333 USA