Medical Billing Specialist

MALIBU GROUP LLC

Medical Billing Specialist

Malibu, CA
Full Time
Paid
  • Responsibilities

    FACILITY MEDICAL BILLER

    MG Billing is a boutique billing and insurance services company, looking to add a medical biller to their Billing Administration Team in behavioral health facility department. The position involves working closely with both owners/doctors of facilities/practice groups, their related staff, and insurance representatives ranging from provider service reps to managers/directors of departments/regions- in order to ensure both the highest level of customer service for clients and maximum reimbursements for services rendered. An MG biller must be detailed oriented, strong in follow up calling, and possess a passion for creative problem solving.

    Job responsibilities include:

    Weekly billing of services rendered by provider (averaging 100-200 claims- varies per account)

    Daily collections- obtaining status through insurance representatives (and online resources), maintaining schedule of each policy reimbursement to ensure uniform and highest paying reimbursement

    Daily posting and applying payments received to keep client financials as up to date and accurate as possible

    Build, populate, and review census of services based off of client reports/medical records

    Review and submit medical records and other documentation- to ensure services meet required insurance standards and to respond to insurance medical record requests in a timely manner

    Monthly submission of appeals for retro authorization, higher reimbursement, medical necessity, non-covered service

    Monthly/Weekly reports to clients on reimbursement and census performance

    Monthly statement generation and mailing

    Setting up providers with online access and payment tools

    Qualifications:

    High School Diploma or Equivalent

    3+ Years Medical Billing/Administration Experience

    Certification in Coding a plus, but not required

    HIPAA compliance trained, also a plus

    Skills Required:

    Ability to work remotely

    Detail oriented

    Strong time and workload management skills

    Experience in EMR systems (CollabMD preferred, but not required)

    Working knowledge of CPT Codes

    Ability to work in/utilize online insurance resources

    Proficiency in Microsoft Word, Excel, and PowerPoint

    Critical/Creative thinking

    This is a remote position.