The Neuron Clinic is a busy outpatient neurology practice with locations in Chula Vista, Temecula, and San Marcos, CA. We are passionate about delivering high-quality patient care. We accept Medicare, Medi-Cal, Tricare, and most HMOs and commercial PPOs. We are seeking a healthcare professional that is passionate about quality care and making a difference in our patients lives.

Why Join the Team?

Competitive Compensation

Generous Health Insurance Coverage: Medical & Dental

Retirement Plan - Dollar for Dollar match

Paid Vacation Accruals

Paid Holidays

Paid training

Work alongside extremely talented highly specialized doctors

Excellent Work-life Balance

Summary

The Medical Billing Specialist oversees billing processes and serves as a point of contact for providers, patients, staff, IPA’s and insurance companies. Works closely with clinic management on the timely submission of accurate encounter data for claims processing. They serve as the liaison between the clinic and all parties involved in billing and are expected to have a deep understanding and accurate management of claim data, processes and protocols. Participates in ensuring a healthy revenue cycle at all steps of the process.

Essential Duties and Responsibilities

Oversee automated billing processes within billing software, including managing remittance and postings, follow-up on denials, correcting claims within hold status, and reviewing accounts receivable, aging, and collections reports. following:

Submits paper claims to payers that do not accept electronic signature format.

Submits tertiary claims

Submits to billing service paper EOBs from payers as needed

Submits documentation to billing service as needed for appeals.

Submits timely claims after provider encounters, reviews documentation, coding, authorization, and insurance eligibility before submissions

Performs regular reconciliation and correction of remittance records, missing slips, and other billing tasks

Performs regular billing of no-shows, inpatient encounters, and non-face-to-face encounters

Preferred Education and Experience

Graduated from an accredited Billing Program

Certified Coding Specialist preferred

Three or more years of experience in medical billing or revenue cycle management

Knowledge of Medicare, Medi-Cal, Tricare, managed care plans, HMOs, and PPOs

Knowledge of insurance company billing rules and requirements

Billing software experience preferred

Special Conditions of Employment

Furnish proof of COVID-19 vaccination

Knowledge Skills and Abilities

Bilingual English/Spanish preferred.

Excellent oral and written communication skills.

Knowledge of some medical terminology, ICD-9, CPT, H.C.P.C.S codes.

Proficient in the use of a computer

Ability to multi-task, work independently, accurately and with minimum supervision.

Excellent customer service skills.

Accuracy of work with close attention to detail, and neatness.

Effective interpersonal skills.

Schedule

8 hour shift

Monday - Friday