<p>A Behavioral Healthcare Company is looking for an experienced Medical Billing Specialist with ABA experience to join its Revenue Cycle Team. The Medical Billing Specialist will play a vital role in managing the revenue cycle by ensuring accurate billing, payment processing, and authorizations. This Medical Billing Specialist requires someone with strong attention to detail who can navigate insurance claims, resolve discrepancies, assist patients with EOB explanation and maintain compliance with healthcare regulations.</p><p><br></p><p>Responsibilities:</p><p>• Prepare and submit medical claims to insurance companies, including commercial payers and private, ensuring accuracy and compliance.</p><p>• Monitor and track the status of submitted claims to ensure timely reimbursement.</p><p>• Post payments from insurance companies and patients with precision and accuracy.</p><p>• Manage patient account balances, including collections and establishing payment plans when necessary.</p><p>• Investigate and address claim denials, rejections, and underpayments, identifying solutions to secure proper reimbursement.</p><p>• Draft and submit appeals with supporting documentation to resolve complex claim issues.</p><p>• Communicate effectively with insurance carriers and patients to address billing inquiries and concerns.</p><p>• Maintain detailed and accurate records of billing activities and ensure compliance with payer guidelines.</p><p>• Support the organization’s financial health by optimizing the revenue cycle processes.</p><p>• ABA and/or Mental/Behavioral Health is a PLUS!</p><p><br></p><p>This company offer Medical, Dental and Vision Insurance. 401K Retirement Plan, Sick Time Off and Tuition reimbursement.</p>
<p>A Medical Center in Los Angeles is looking for a dedicated Surgery Medical Biller/Collections Specialist. This Surgery Medical Biller/Collections Specialist involves managing claim submissions, addressing denials, and ensuring the accuracy of billing processes to optimize reimbursement. The ideal candidate will bring expertise in medical billing, collections, denial management, and appeals, as well as familiarity with Epic billing workflows. </p><p><br></p><p>Responsibilities:</p><p>• Address and correct front-end edits and clearinghouse errors to facilitate clean claim processing.</p><p>• AR Insurance follow up via phone and online web portals. </p><p>• Submit electronic claims in compliance with specific payer guidelines and requirements.</p><p>• Manage timely corrections, rebills, and resubmissions of claims to resolve outstanding issues.</p><p>• Handle claim attachments and supporting documentation to meet payer requirements.</p><p>• Investigate and resolve denials by preparing appeals with appropriate clinical, coding, and billing documentation.</p><p>• Coordinate outreach to payers for unresolved or aged claims and follow up on outstanding accounts.</p><p>• Collaborate with patient access and coding teams to address discrepancies and ensure billing accuracy.</p><p>• Monitor payer trends, escalate systemic issues, and recommend improvements to prevent recurring denials.</p><p>• Verify patient information, including demographics, insurance coverage, and authorization details, to ensure claims are accurate before submission.</p><p>• Assist leadership with high-dollar or time-sensitive accounts to ensure timely resolution.</p>
<p>Are you motivated, with attention to detail? This growing company is hiring a Medical Billing Specialist with strong behavioral health skills. The Medical Billing Specialist will be tasked with submitting claims to insurance companies for services rendered. The Medical Billing Specialist must be well versed with HMO, PPO and Government insurance. The right person for this role must have at least 3 years of medical billing and insurance collections experience. .</p><p> </p><p>Your responsibilities in this role</p><p> - EOB review and claims submission </p><p>- Send notices to insurance companies and patients for request for payment</p><p>- Manage elements of specific patient accounts, such as billing and reimbursement</p><p>- Coordinate with numerous working teams to guarantee quality of data and uniformity</p><p>- Behavioral Health or DMH is a big plus but not a must </p>
<p>A leading hospital in the San Fernando Valley is seeking a dedicated Hospital Medical Billing Collections Specialist to join its team. In this role, you will oversee all aspects of the hospital's billing and collections processes, ensuring timely and accurate reimbursement. You will be responsible for managing billing activities and collections for Medicare managed care, commercial insurance, PPO/HMO, and Medi-Cal managed care accounts. This position requires strong attention to detail, a deep understanding of healthcare billing guidelines, and the ability to work collaboratively with internal departments and insurance payers to resolve outstanding claims.</p><p><br></p><p>Responsibilities:</p><p>• Conduct hospital billing and collection processes with accuracy and efficiency</p><p>• Handle Medicare managed care, commercial, PPO/HMO, and Medical managed care</p><p>• Provide training for Collector I positions</p><p>• Appeals and denials management.</p><p>• Engage in Appeals, Billing Functions, Claim Administration, and Collection Processes as part of the role</p><p>• Oversee the management of insurance correspondence and maintain accurate records</p><p>• Monitor patient accounts and take appropriate action to collect insurance payments.</p>
