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Murrieta

    Medical Billing Specialist - Murrieta, United States - GLIA HEALTH MANAGEMENT LLC

    GLIA HEALTH MANAGEMENT LLC
    GLIA HEALTH MANAGEMENT LLC Murrieta, United States

    3 days ago

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    Description

    Job Description

    Job DescriptionThe 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 who is passionate about quality care and making a difference in our patient's 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, IPAs 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. They are expected to have a deep understanding of and an accurate ability to manage claim data, processes, and protocols. Participates in ensuring a healthy revenue cycle at all steps of the process.

    Essential Duties and Responsibilities

    1. 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:
    2. Submits paper claims to payers that do not accept electronic signature format.
    3. Submits tertiary claims
    4. Submits to billing service paper EOBs from payers as needed
    5. Submits documentation to billing service as needed for appeals.
    6. Submits timely claims after provider encounters, reviews documentation, coding, authorization, and insurance eligibility before submissions
    7. Performs regular reconciliation and correction of remittance records, missing slips, and other billing tasks
    8. Performs regular billing of no-shows, inpatient encounters, and non-face-to-face encounters
    Preferred Education and Experience
    1. Graduated from an accredited Billing Program
    2. Certified Coding Specialist preferred
    3. Three or more years of experience in medical billing or revenue cycle management
    4. Knowledge of Medicare, Medi-Cal, Tricare, managed care plans, HMOs, and PPOs
    5. Knowledge of insurance company billing rules and requirements
    6. Billing software experience preferred
    Special Conditions of Employment
    1. Furnish proof of COVID-19 vaccination
    Knowledge Skills and Abilities
    1. Bilingual English/Spanish preferred.
    2. Excellent oral and written communication skills.
    3. Knowledge of some medical terminology, ICD-9, CPT, H.C.P.C.S codes.
    4. Proficient in the use of a computer
    5. Ability to multi-task and work independently, accurately, and with minimum supervision.
    6. Excellent customer service skills.
    7. Accuracy of work with close attention to detail and neatness.
    8. Effective interpersonal skills.
    Schedule
    • 8-hour shift
    • Monday - Friday
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