Medical Billing & Coding Specialist

Victor • Barstow, CA

4d • $25 - $34 • Hybrid

About The Position

Under the supervision of the Revenue Manager, the Medical Billing and Coding Specialist is responsible for the administration of claims for services provided to clients with commercial health insurance plans and other contracts for new lines business.

Requirements

• Must have a High School or equivalency degree and a minimum of four years of medical billing experience with an emphasis on commercial insurance providers.
• Strong knowledge of coding requirements.
• Must have knowledge of the English language.
• Must have knowledge of PC hardware and software operations and applications.
• Must possess a valid California driver’s license, personal automobile insurance, and driving record that meets the standards outlined in the Agency's Policy: Motor Vehicle Operating Standards.
• Must be physically and mentally fit in accordance with the Agency’s Policy: Physical Fitness Standards and Examinations.
• Must be willing to complete a Tuberculosis (TB) test and drug screening test.
• Must be willing to complete a personal background investigation conducted by the State of California.
• Must be willing to work within a culturally integrated workplace and be willing to respect human differences based upon protected classes as defined by state, federal and local laws, or any other condition that distinguishes people from one another.

Nice To Haves

• Experience with Waystar software preferred.

Responsibilities

• Collaborates with administrative staff to identify new referrals and potential new insurance plans monthly.
• Coordinates with administrative staff to ensure client eligibility and authorization for services at the frequency required by the insurance plan.
• Administration of claims submission and responses.
• Collaborates with Billing Associates to bill Medi-Cal as secondary insurance.
• Administers billing and collection activities for client copays, coinsurance, and deductible amounts.
• Monitors accounts receivable by commercial health insurance plan and initiates collection of overdue balances.
• Assists the Revenue Manager, administrative, quality improvement, and other staff in identifying and addressing the root causes of claim denials.
• Completes other duties as assigned.

Benefits

• Low-cost Medical, Dental and Vision
• Life Insurance plan for employee and family
• 9 Paid Holidays, PTO and Sick pay
• Mental Health Day
• 5 Bereavement days
• Costco Membership
• Retirement Savings Plan (403B)
• 100% Employer Funded Retirement Plan
• Employee Assistance Program
• Mileage Reimbursement
• Working Advantage Discount Program
• Verizon Wireless Discount
• Tuition Assistance
• Employee Referral Bonus Program

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED