Medical Billing Specialist

MALIBU GROUP LLC

Medical Billing Specialist

Malibu, CA
Full Time
Paid
  • Responsibilities

    Please only apply if you are currently seeking employment and live in California, Indiana or Maine.

    MG Billing is a boutique billing and insurance services company, looking to add a medical biller to their Billing Administration Team - a position is currently open in mental health and substance abuse facility group department. The position involves working closely with both owners/doctors of facilities/practice groups, their related staff, and insurance representatives ranging from provider service reps to managers/directors of departments/regions - in order to ensure both the highest level of customer service for clients and maximum reimbursements for services rendered. An MG biller must be detailed oriented, strong in follow up calling, and possess a passion for creative problem solving.

    Responsibilities Include:

    Weekly billing of services rendered by provider (averaging 100-200 claims- varies per account)

    Daily collections- obtaining status through insurance representatives (and online resources), maintaining schedule of each policy reimbursement to ensure uniform and highest paying reimbursement

    Daily posting and applying payments received to keep client financials’ as up to date and accurate as possible

    Review and submit medical records and other documentation- to ensure services meet required insurance standards and to respond to insurance medical record requests in a timely manner

    Monthly submission of appeals for retro authorization, higher reimbursement, medical necessity, non-covered service

    Monthly/Weekly reports to clients on reimbursement and census performance

    Monthly statement generation and mailing

    Setting up providers with online access and payment tools

    Qualifications:

    High school graduate or equivalent degree

    Basic knowledge of medical insurance benefits and policies

    3+ Years Medical Billing/Administration Experience

    Experience with facility billing for mental health and substance abuse a plus

    Certification in Coding a plus, but not required

    HIPAA compliance trained, also a plus

    Must possess excellent verbal and written communication skills

    Must uphold a gold standard customer service approach to all client interactions

    Must be able to manage workload and complete assignments in a timely manner, whether supervised or not

    Must project professionalism and be a team player

    Must be proficient in basic computer skills relating to data entry, email, Microsoft Word and Excel

    Must live in California, Indiana or Maine to be considered for employment

    This is a remote position.