Medical Billing Specialist - Revenue Cycle

3 days ago

🏄 California – Remote

Although this job is listed in California, this company may be open to hiring remote in other states.

💵 $60k - $72k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

📊 Billing Specialist

🦅 H1B Visa Sponsor

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California Mental Health Services Authority

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California Mental Health Services Authority (CalMHSA) is an independent administrative and fiscal public entity representing California counties. It focuses on transforming mental health care by developing electronic health records (EHR) and promoting interoperability among various health IT systems. CalMHSA supports counties in improving mental health services through initiatives like early psychosis intervention, workforce development, suicide prevention hotlines, and research on equity and community impact. The organization works closely with county behavioral health departments to enhance support for mental health initiatives, especially in underserved communities.

51 - 200 employees

Founded 2009

⚕️ Healthcare Insurance

🤝 Non-profit

🏛️ Government

📋 Description

• Under the supervision of the Revenue Cycle Management Manager, the Medical Billing Specialist I performs high volume advanced data entry work. • Work involves entering, verifying, researching, coding, correcting, or retrieving information from source documents and/or computer systems with a high level of accuracy. • Prepare and submit claims, either electronically or by paper, to private health and County/State insurance companies. • Contact insurance companies in order to correct billing issues and resubmit claims to third-party payers. • Serve as medical billing point of contact for county representatives. • Review patient records daily for accuracy, supply any missing information, and ensure compliance with company policy and government regulations. • Identify billing errors by interpreting transactions. • Follow and report on the status of billing transactions. • Develop, generate, and maintain up-to-date billing and revenue cycle reports within the database by tracking billings, monitoring collections, and analyzing financial data. • Ensure compliance with HIPAA regulations by following confidentiality protocols and being aware of accessibility to sensitive information. • Access patient records as needed for review by physicians, technicians, and other medical staff members. • Follow professional standards and meet requirements of local, state, and federal regulations. • Other duties as assigned.

🎯 Requirements

• Possesses a high school diploma or equivalent. • Medical Billing Certification and three (3) years of medical billing experience, preferably in behavioral health, or an acceptable equivalent combination of education and experience. • Working knowledge of insurance terminology (out-of-network benefits vs. in-network benefits, as well as coinsurance, co-pays, and deductibles). • Working knowledge of cash postings, billing, follow up, insurance registration, authorization management and claim denials. • Working knowledge of Professional billing (CMS1500). • Working knowledge and experience with EHR and billing software programs required. • Demonstrates the ability to work in a fast-paced environment; can multi-task and work independently as well as with a team. • Displays the ability to keyboard 30 wpm; is proficient in Word, Excel and Outlook. • Must be willing to travel, when necessary. • Intermediate knowledge of Excel & Word, Adobe, PowerPoint, and Outlook. • Experience with DocuSign and any other project management product software required. • Demonstrates the ability to read, comprehend, and respond appropriately through written or verbal form; demonstrate tactfulness when communicating including internal communication with staff members of all levels; ability to communicate with a variety of audiences effectively. • Ability to add, subtract, multiply, and divide in all measure units, using whole numbers, common fractions, and decimals. • Demonstrates the ability to effectively apply common sense and follow through to daily tasks; demonstrate the ability to work with little or no supervision; demonstrate excellent analytical skills; demonstrate the ability to efficiently conduct research and ask appropriate probing questions to complete necessary tasks.