Medical Billing Specialist

The award-winningteam at Executive Mental Health (EMH), is a leading behavioral healthcare groupin the State of California, who is seeking a Medical Billing Specialist with 3-5 years of experience for afull-time position with the company to support the growth of EMH as a trustedprovider of integrated mental healthcare and play a critical role in healthcare.The position offers competitive pay and benefits such as fully coveredhealthcare, 401K retirement plan, paid parental leave, and more.

Job description:

As a valued employee of Executive MentalHealth, you’ll be part of a team dedicated to delivering high-quality billingsupport to our clinicians offering patient care across California. Our medicalbilling experts benefit from the stability of an administrative position in afast-growing industry, enjoy the support of and camaraderie among their peers,and opportunities for professional growth as an essential part of the company’sfunctioning.

Reporting directly to the Head of Billing, theMedical Billing Specialist acts as the bridge between the team of practitionersand insurance companies and contributes to the practice's overall revenueperformance. As an advocate for our patients, you’ll be working with a team makinga positive difference in the lives of the people of our community.

The ideal candidate will offer from 3 to 5years of experience handling accounts receivable, including collections,private billing, census reporting, Medicare, Medicaid, and Private insurancemanagement (HMO); and maintaining accurate accounting records.

This position isremote with a PST preferred time zone. A stable internet connection is requiredand virtual communication via Microsoft Teams is required.

Responsibilities:

• Demonstraterespect and compassion in every interaction.
  
• Conductoneself with the highest degree of honesty and integrity in every interaction.
  
• Demonstratea passion for caring as evidenced by interaction with co- workers, residents,families, and visitors.
  
• Routinelyattend department meetings and on-going in-service and training programs, topresent and exchange pertinent information.
  
• Relayinformation between licensed staff and other staff members, and provide themwith updates as needed.
  

• Contributebilling information needed for strategic plans and reviews.
  
• Implementproduction, productivity, quality, and customer-service standards.
  
• Resolveproblems and identify billing system improvements.
  

Ensure timely verifications & referrals

• Confirm/Verifyinsurance benefits and financial data with the appropriate carrier via on-lineverification systems or telephone inquires.
  
• Obtainand update demographic, next-of-kin, and insurance information, includingreferrals, authorizations and signatures on patients following the HealthInsurance Portability and Accountability Act (HIPAA) rules and regulations.
  
• Respectpatient confidentiality and withholds restrictive information according toHIPAA guidelines.
  
• Collectappropriate documentation for managed care programs regarding referrals andauthorizations.
  

Facilitate payment processing, reconciliation,and reporting

• Adhereto established reporting procedures to ensure that the numbers balance.
  
• Maintainworking knowledge of all required computer systems.
  
• Maintaincurrent and accurate computer data.
  

Offer administration team support

• Welcomesvisitors by greeting them, in person or on the telephone; answering orreferring inquires. Answering, forwarding, screening phones calls and routingcalls as necessary.
  
• Assistwith administrative tasks including copying, faxing, taking notes,making travel plans but not limited to scanning of medical records
  
• Scheduleappointments according to the templates/departmental scripts while meetingbusiness unit scheduling accuracy requirements.
  
• Scheduleappointments according to the physician templates for similar types ofphysicians, generally at one office or multiple session timeshares (singlespecialty phone room or front desk environment).
  
  

The job description above includes duties thatare essential functions, or fundamental duties. The essential functions of theMedical Billing Specialist may differ based on job performance, staffing needsand demand.

• Professionalintegrity: Consistency, compassion, cultural competence, and sensitivity.
  
• Criticalthinking: Excellent judgment and creative problem-solving skills, includingnegotiation and conflict resolution.
  
• Communication:Strong written and oral communication skills; excellent interpersonal skills.
  

Requirements

Qualifications (required)

• Minimumof 3 years of experience working as a Billing Specialist (required)
  
• UniversityDegree (desired)
  
• HighSchool Degree or equivalent (required)