Medical Billing Specialist
UrgentMed is a 500-employee chain of 43+ urgent care clinics operating in the Los Angeles area. We have expanded unit count by 45% in the past year and are projecting strong growth in the coming years. Our corporate office is in the Downtown Los Angeles area.
We are seeking a high-energy individual with an ability to see the big picture in a dynamic business environment to join our Revenue Cycle Team. The Medical Billing Specialist will report directly to the Director of Revenue Cycle Management (with a dotted line to the Controller). This position will be instrumental in working with our partners and with growing our revenue while understanding the business now and over the next several years. This is a hands-on position, and the successful candidate will be an analytical problem solver who possesses excellent communication skills, highly organized and is knowledgeable in accounts receivable management for medical practices.
You will play an important role in assisting with operational education and support to both the Operations and Finance teams. It will be critical to demonstrate continued process, workflow and financial improvement while driving our mission forward. You will also assist in building the Revenue Cycle team as the business scales upward.
The day-to-day activities include:
- Understand and perform eligibility and authorization processes as appropriate.
- Perform billing functions and have extensive knowledge of claims preparation/generation, charge review, payment posting, follow up activities and collections.
- Responsible for managing assigned accounts and completes a daily average of 100 claims per day.
- Review, analysis and correction of denial and rejection data while identifying trends to assist with training and education to improve outcomes.
- Communicate with insurance companies, employers and patients to resolve billing issues including appeals and denial resolution.
- Identify reimbursement and underpayments trends and make recommendations for recovery.
- Communicates errors and/or missing information regarding patient’s insurance, charges, coding etc. to the corresponding locations, identifies necessary corrections to resubmit claims accurately.
- Collaborate with medical office staff and office managers to resolve billing related matters.
- Identify recommendations to be presented to the management team on revenue cycle improvement opportunities.
- Ensure compliance with insurance regulations and guidelines, knowledge of general coding guidelines for both ICD-10 and CPT codes.
- Remain current with insurance policies as well as billing, follow up, appeal procedures.
Requirements for the position:
- 3 years of medical billing experience in a physician’s office or clinic
- Proficiency with basic Microsoft Office Suite and computer usage
- Background with Medi-Cal HMOs, Medicare, Medicare Advantage and PPO insurances
- High School Diploma required, BA, or BS, degree is desirable (Bachelor’s Degree in Business, Finance or HealthCare)
- Ability to read/interpret correspondence, encounter forms, EOBs and insurance documents.
- Experience within the health care provider space in a multi-unit environment is a plus.
- Experience working with Waystar and Experity are a plus.
Characteristics that we are seeking in our new Medical Billing Specialist (consider not including in the job spec, but the characteristics we seek)
- Coachable: Open to feedback and continual professional improvement. Flexible and adaptable. Willing to learn.
- Ethical and with high standards: Quality orientation. Follows through on commitments.
- Efficient: Producing significant output with minimal wasted effort, organized planning, and prioritization.
- Proactive: Self-starter who appropriately tackles problems and gets stuff done without the need for constant oversight. Continually seeks additional responsibilities while asking for, and acting on, feedback.
- Collaborative: Approaches work with a "people first" attitude and is a team player.
- Communicative: Speaks and writes clearly and articulately. Openly listens to learn and shows appreciation for other points of view.
- Judgment: Strong business acumen and excellent logic and reasoning skills, Ability to exercise great judgment while working independently in a fast-paced environment.
- Resourceful: Ability to think creatively to source information and get things done.
Job Type: Full-time
Pay: $23.00 - $26.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
Schedule:
- 8 hour shift
- Monday to Friday
Ability to commute/relocate:
- Los Angeles, CA 90017: Reliably commute or planning to relocate before starting work (Required)
Experience:
- ICD-10: 5 years (Required)
Work Location: In person
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