Medical Billing Specialist

About us

We are professional, agile and thriving medical group with a primary focus on mental health and counseling/therapy services. We are well established in Sonoma County and have been open for over 30 years. We are looking for positive, professional and experienced individuals to join our administrative team.

Our work environment includes:

• Modern office setting
• Multiple offices in Santa Rosa and Petaluma

A Medical Biller, or Insurance Billing Specialist, is responsible for organizing patient medical costs and sending invoices to collect payment from patients and their insurers. Their duties include calling patients to discuss payment and develop reasonable payment plans, entering patient data into administrative systems and recording information about outstanding claims.

Medical Billers work in healthcare settings to manage incoming and outgoing payments for medical treatment. Their role is to communicate with patients about their outstanding balance and handling the administrative responsibilities of billing insurance and processing payments. Medical Billers interpret patient charts and medical codes to determine how much they own and whether any outside insurance cover’s part or all their balance. They document each step in the billing process and manage patient information in a billing software database. Medical Billers investigate system errors and pursue information about denied claims to collect payments on a quick timeline.

• Perform posting charges

• Perform completion of claims to payers

• Conduct duties in a professional and timely fashion

• Submit billing data to the appropriate insurance providers

• Process claims

• Resolve denial instances

• Achieve maximum reimbursement for services provided

• Deploy, maintain, and report on various programs

• Conduct audits

· Verify insurance benefits online and over the phone.

· Understand credentialing process and procedures.

· Familiar with Medical Billing software including PrimeClinical

• Review and analyze medical records and patient bills to ensure accurate coding and billing
• Utilize medical coding systems (such as ICD-10) to assign appropriate codes to diagnoses and procedures
• Verify insurance coverage and process claims for reimbursement
• Follow up on unpaid claims and denials, appealing as necessary
• Communicate with patients, insurance companies, and healthcare providers to resolve billing issues
• Maintain confidentiality of patient information and adhere to HIPAA regulations
• Stay updated on changes in Medical Billing and coding guidelines

Medical Biller Skills and Qualifications

- Previous experience in Medical Billing or a related field

- Knowledge of medical terminology, procedures and simple coding

- Proficiency in using Medical Billing software and electronic health record systems

- Strong attention to detail and accuracy in coding and billing processes

- Excellent communication skills, both written and verbal

- Ability to work independently and prioritize tasks effectively

- Familiarity with insurance claim processing and reimbursement procedures

• Effective communication skills

• Basic computer skills, such as sending emails, typing, and using spreadsheets

• Interact virtually with clients and patients

• Creative problem-solving skills

• Collaborate well with others

• Multitask

Note: This job description is intended to provide a general overview of the position. It is not an exhaustive list of all responsibilities, duties, qualifications, or requirements associated with the job.

Job Type: Full-time

Pay: $22.00 - $25.00 per hour

Expected hours: 40 per week

Benefits:

• Flexible schedule
• Health insurance
• Paid time off
• Professional development assistance

Schedule:

• 8 hour shift
• Choose your own hours
• Day shift
• Monday to Friday
• Overtime
• Weekends as needed

Work setting:

• Private practice

Work Location: In person