Billing Specialist

We are seeking a detail-oriented Medical Billing Specialist to join our team. This role is responsible for ensuring accurate and timely submission of all medical claims while maintaining compliance with industry regulations.

Responsibilities

• Process and submit claims via paper, electronic, and web portal billing.
• Ensure all claims are submitted accurately and within payer deadlines.
• Review and reconcile denials received through mail and Waystar, making necessary corrections.
• Submit rebill claims within timely filing limits.
• Follow up on rejected claims and correct errors within 24 hours in Waystar and state web portals.
• Monitor billing schedules to ensure timely claim submission.
• Review and adjust unbilled reports and units with no charges daily or at least weekly.
• Collaborate with business managers and the revenue cycle manager to resolve complex denials.
• Assist with month-end close processes as needed.
• Cross-train in other billing functions to provide coverage as necessary.

Qualifications

• Strong attention to detail and accuracy.
• Compliance with HIPAA regulations.
• Proficiency in Microsoft Excel and other billing software.
• Understanding of conditions of payment and medical billing guidelines.
• Self-motivated with the ability to work independently and collaboratively.
• Strong professional communication skills via email and phone.

Schedule

• Monday to Friday, 8:00 AM - 5:00 PM

Compensation

• $18 - $20 per hour (based on experience)

For California Applicants:

We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable federal, state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance (FCIHO), Los Angeles Fair Chance Ordinance for Employers (ULAC), The San Francisco Fair Chance Ordinance (FCO) , and the California Fair Chance Act (CFCA).

This position is subject to a background check based on its job duties, which may include patient care, working with vulnerable populations, access to financial and confidential information, driving, working with heavy machinery, or working in a warehouse or laboratory environment. Due to these job duties, this position has a significant impact on the business operations and reputation, as well as the safety and well-being of individuals who may be cared for as part of the job position or who may interact with staff or clients.