Medical Billing Operations Specialist - Los Angeles, United States - Codemax Medical Billing

Codemax Medical Billing
Codemax Medical Billing
Verified Company
Los Angeles, United States

2 weeks ago

Mark Lane

Posted by:

Mark Lane

beBee recruiter


Description

Job Title:
Medical Billing Operations Specialist


Reports To:
Operations Director


Employment Status:
Full-Time


FLSA Status:
Non-Exempt


  • Job Summary:_
  • Duties/Responsibilities:_
  • Processes and submits insurance claims in a timely manner.
  • Verifies insurance coverage and benefits, initiates preauthorizations, and handles precertification of procedures.
  • Utilizes ICD10, CPT, and HCPCS coding systems accurately.
  • Reviews medical records to ensure accurate coding and billing practices.
  • Follows up on unpaid claims and manages denials by conducting investigations and filing appeals.
  • Maintains strict confidentiality in accordance with HIPAA guidelines.
  • Resolves patient inquiries and complaints related to billing.
  • Documents billing procedures and maintains patient billing records.
  • Generates and reviews financial and billing reports.
  • Provides training and guidance to other billing staff as required.
  • Stays updated with the latest insurance and healthcare regulations.
  • All other duties as assigned.
  • Required Skills/Abilities_:
  • Excellent organizational and multitasking skills, with a keen eye for detail.
  • Strong problemsolving abilities and analytical skills.
  • Outstanding written and verbal communication skills.
  • Education and Experience:_
  • High school diploma or equivalent required.
  • Minimum of 2 years of experience in a medical billing or similar role.
  • Proficiency in medical billing software and electronic health records (EHR).
  • Indepth knowledge of insurance processes, including verification, preauthorization, and claims appeal procedures.

Benefits:


  • Health Insurance
  • Vision Insurance
  • Dental Insurance
  • 401(k) plan with matching contributions

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