Address
Form of workJob Title: Medical Biller
Department: NorCal AMG
About the Role:
Astrana Health is seeking a full-time Medical Biller to oversee billing for patient accounts and will be responsible for communicating effectively with clients, payers, and team members. This role will report to the Billing Director and enable us to continue to scale in the healthcare industry.
What You'll Do:
- Oversee entirety of NMM NorCal billing process to ensure all tasks are completed accurately and in a timely manner
- Communicate with clients on a regular basis to answer all questions, inquiries and messages within 1 business day, and create monthly reports to share with clients
- Perform posting charges, completion of claims to payers, process claims, resolve denial instances, and conduct audits
- Achieve maximum reimbursement for services provided following organization guidelines
- Complete Medicare and Medi-Cal reviews
- Assist proactive processes and software setup to streamline billing processes
- Contribute to a positive team environment with a culture of open communication and teamwork
Qualifications:
- High School Diploma/GED required
- At least 2 years of billing experience
- Knowledge of medical terminology, ICD-10/CPT codes, deductibles, co-insurance, co-pays, and ability to interpret EOBs
- Strong attention to detail and ability to uphold accuracy while managing multiple tasks
- Basic computer skills; Data entry and Microsoft Excel, Google Drive
- Excellent written and verbal communication skills
You're Great for this Role If:
- Proficient in Cantonese
- Medical coding knowledge/experience
- Strong ability to work independently, collaborate with others, problem solve, and multitask
- Medicare/Medi-Cal experience
- Proficient in Tebra software
Who We Are:
Astrana Health (NASDAQ: AMEH) is a physician-centric, technology-powered healthcare management company. We are building and operating a novel, integrated, value-based healthcare delivery platform to empower our physicians to provide the highest quality of end-to-end care for their patients in a cost-effective manner. Our mission is to combine our clinical experience, best-in-class delivery network, and technological expertise in order to improve patient outcomes, increase access to healthcare, and make the US healthcare system more efficient.
Our platform currently empowers over 12,000 physicians to provide care for over 1.3 million patients nationwide. Our rapid growth and unique position at the intersection of all major healthcare stakeholders (payer, provider, and patient) gives us an unparalleled opportunity to combine clinical and technological expertise in order to improve patient outcomes, increase access to quality healthcare, and reduce the waste in the US healthcare system.
Astrana Health (NASDAQ: AMEH) is a physician-centric, technology-powered healthcare management company. We are building and operating a novel, integrated, value-based healthcare delivery platform to empower our physicians to provide the highest quality of end-to-end care for their patients in a cost-effective manner. Our mission is to combine our clinical experience, best-in-class delivery network, and technological expertise in order to improve patient outcomes, increase access to healthcare, and make the US healthcare system more efficient.
Our platform currently empowers over 12,000 physicians to provide care for over 1.3 million patients nationwide. Our rapid growth and unique position at the intersection of all major healthcare stakeholders (payer, provider, and patient) gives us an unparalleled opportunity to combine clinical and technological expertise in order to improve patient outcomes, increase access to quality healthcare, and reduce the waste in the US healthcare system.
Our Values:
- Put Patients First
- Empower Entrepreneurial Provider and Care Teams
- Operate with Integrity & Excellence
- Be Innovative
- Work As One Team
Environmental Job Requirements and Working Conditions:
- Our organization follows a hybrid work structure where the expectation is to work both in the office and at home on a weekly basis. The office is located at 909 Hyde Street, San Francisco, CA 94109.
- The total compensation target pay range for this role is $22 - $28 per hour. This salary expectation reflects our national target range for this role.
Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@networkmedicalmanagement.com to request accommodation.
Additional Information:
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.
Employment Type: Full-TimeAdditional Information:
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.
