Medical Billing Specialist

Executive Mental Health•Los Angeles, CA

1d•Remote

About The Position

The award-winning team at Executive Mental Health (EMH), a leading behavioral healthcare group in California, is seeking a Medical Billing Specialist with 3-5 years of experience for a full-time position. This role is crucial for supporting EMH's growth as a trusted provider of integrated mental healthcare. The position offers competitive pay and benefits, including fully covered healthcare, a 401K retirement plan, and paid parental leave. As a valued employee, you will be part of a team dedicated to delivering high-quality billing support to clinicians offering patient care across California. Medical billing experts benefit from the stability of an administrative position in a fast-growing industry, enjoy the support of and camaraderie among their peers, and have opportunities for professional growth as an essential part of the company’s functioning. Reporting directly to the Head of Billing, the Medical Billing Specialist acts as the bridge between practitioners and insurance companies, contributing to the practice's overall revenue performance. As an advocate for patients, you will be working with a team making a positive difference in the community. The ideal candidate will have 3 to 5 years of experience in accounts receivable, including collections, private billing, census reporting, Medicare, Medicaid, and Private insurance management (HMO), and maintaining accurate accounting records. This position is remote, with a PST preferred time zone. A stable internet connection and virtual communication via Microsoft Teams are required.

Requirements

Minimum of 3 years of experience working as a Billing Specialist (required)
High School Degree or equivalent (required)

Nice To Haves

University Degree (desired)
3-5 years of experience handling accounts receivable, including collections, private billing, census reporting, Medicare, Medicaid, and Private insurance management (HMO); and maintaining accurate accounting records.
Professional integrity: Consistency, compassion, cultural competence, and sensitivity.
Critical thinking: Excellent judgment and creative problem-solving skills, including negotiation and conflict resolution.
Communication: Strong written and oral communication skills; excellent interpersonal skills.

Responsibilities

Act as a valued member of the EMH team
Demonstrate respect and compassion in every interaction.
Conduct oneself with the highest degree of honesty and integrity in every interaction.
Demonstrate a passion for caring as evidenced by interaction with co- workers, residents, families, and visitors.
Routinely attend department meetings and on-going in-service and training programs, to present and exchange pertinent information.
Relay information between licensed staff and other staff members, and provide them with updates as needed.
Contribute billing information needed for strategic plans and reviews.
Implement production, productivity, quality, and customer-service standards.
Resolve problems and identify billing system improvements.
Confirm/Verify insurance benefits and financial data with the appropriate carrier via on-line verification systems or telephone inquires.
Obtain and update demographic, next-of-kin, and insurance information, including referrals, authorizations and signatures on patients following the Health Insurance Portability and Accountability Act (HIPAA) rules and regulations.
Respect patient confidentiality and withholds restrictive information according to HIPAA guidelines.
Collect appropriate documentation for managed care programs regarding referrals and authorizations.
Adhere to established reporting procedures to ensure that the numbers balance.
Maintain working knowledge of all required computer systems.
Maintain current and accurate computer data.
Welcomes visitors by greeting them, in person or on the telephone; answering or referring inquires. Answering, forwarding, screening phones calls and routing calls as necessary.
Assist with administrative tasks including copying, faxing, taking notes, making travel plans but not limited to scanning of medical records
Schedule appointments according to the templates/departmental scripts while meeting business unit scheduling accuracy requirements.
Schedule appointments according to the physician templates for similar types of physicians, generally at one office or multiple session timeshares (single specialty phone room or front desk environment).