Medical Billing and Coding Specialist Palm Urgent Care Multispecialty and Mental Health El Cajon, CA Job Details Full-time $23.58 - $27.00 an hour 7 hours ago Benefits Relocation assistance Qualifications Appeals Medicare Managed care Attention to detail Documentation review Full Job Description Senior Medical Biller / Revenue Cycle Specialist Full-Time |

San Diego, CA Pay:

$28-$35 per hour, depending on experience We are seeking an experienced Senior Medical Biller / Revenue Cycle Specialist to support a growing multi-specialty healthcare organization providing: Urgent Care Primary Care Behavioral / Mental Health Services This is not an entry-level billing position. We are looking for someone who understands the entire revenue cycle and can independently review claims, identify billing problems, work denials, follow outstanding accounts, and help ensure that services provided are properly billed and collected. Responsibilities The Senior Medical Biller / Revenue Cycle Specialist will be responsible for: Reviewing encounters and claims prior to submission Verifying that claims contain appropriate CPT, ICD-10 and HCPCS information Reviewing modifiers and place-of-service requirements Checking billing provider, rendering provider, NPI and taxonomy information Reviewing claims for potential billing or documentation issues before submission Electronic and paper claim submission Working clearinghouse rejections Reviewing EOBs and ERAs Payment posting and reconciliation Following up on unpaid and underpaid claims Working insurance denials from beginning through resolution Submitting corrected claims and appeals Identifying recurring denial patterns and correcting the underlying cause Monitoring timely-filing deadlines Checking patient eligibility and benefits Reviewing authorization and referral requirements Working payer portals Following up directly with insurance companies when necessary Maintaining accurate notes regarding claim follow-up Reviewing aging reports and prioritizing outstanding A/R Identifying claims that have been submitted incorrectly or have not been submitted Communicating billing/documentation issues to providers and management Helping improve clean-claim rates and overall collections Required Experience Minimum 3-5 years of hands-on medical billing experience required. Strong preference will be given to candidates with 5+ years of experience . Candidates should have experience with several of the following: Medicare Medi-Cal Managed Medi-Cal Commercial insurance PPO/HMO plans Urgent care billing Primary care billing Behavioral health / mental health billing Psychiatrist and psychiatric NP billing Therapy/psychotherapy billing Physician, NP and PA billing Denials and appeals A/R follow-up Behavioral Health Experience Behavioral health billing experience is strongly preferred. The ideal candidate understands that behavioral health billing may involve different authorization requirements, provider types, payer requirements, CPT codes, documentation requirements and payer-specific billing rules. What We Are Looking For We want someone who does more than simply transmit claims. The right person should be able to look at a claim and ask: "Is this claim correct, and is the insurance company actually going to pay it?" You should be comfortable researching problems independently and following a claim until payment or final resolution. Strong attention to detail, accountability and follow-through are essential. Compensation $28-$35/hour depending on experience. Higher compensation may be considered for candidates with extensive experience managing complex revenue cycles across urgent care, primary care and behavioral health. Full-time position. Benefits available for eligible full-time employees. Preferred Qualifications 5+ years medical billing/RCM experience California healthcare billing experience Medicare and Medi-Cal experience Behavioral health billing experience Strong denial-management experience Strong understanding of CPT, ICD-10, HCPCS and modifiers Experience working high-volume A/R Experience with multiple providers and locations Experience identifying billing trends and revenue leakage Experience communicating directly with providers regarding documentation or coding issues To Apply Please submit your resume and include: Total years of medical billing experience Your experience with Medicare and Medi-Cal Your experience with behavioral health billing Your experience with urgent care or primary care The EHR/practice-management systems and clearinghouses you have used Approximate monthly claim volume you have handled Your experience working denials and aged A/R Your desired hourly rate Candidates selected for an interview may be asked to complete a short medical billing knowledge assessment.

Job Type:

Full-time Pay:

$23.58 - $27.00 per hour

Benefits:

Relocation assistance

Work Location:

In person