Lead Medical Billing Specialist

MeBe is seeking a Lead Medical Billing Specialist. Our organization provides ABA - Applied Behavioral Analysis, Speech Therapy and Occupational Therapy. We are looking for an experienced individual who has excellent interpersonal skills, and a strong work ethic. The candidate should have the essential skills to exercise good judgment and demonstrate professionalism.

We are seeking a person with a solid understanding of billing and knowledge of what it takes to get a claim paid. You need to know how to ask the right questions and be skilled problem-solver. Claims collections and speaking to families is your jam.

Job Tasks:

• Submits claims, processes follow-up on payer appeals, and will communicate with manager on status of claims

• Follow up on accounts receivable. Contacting insurance carriers as needed to get maximum payment on accounts and identify issues or changes to achieve profitability

• Performs secondary (and beyond) billing follow up.

• Process on-line adjustments to insurance claims.

• Complies with audit requests by insurance carriers in a timely fashion.

• When necessary, reviews medical records and resubmits claims with appropriate documentation to expedite claims processing (adhering to confidentiality requirements).

• Accurately processes corrections on accounts and/or active claims by error correcting or voiding transactions. Posts appropriate adjustments as needed.

• Thoroughly researches credit balances and processes insurance refunds or adjustments as needed.

• Responsible for keeping up to date with current insurance billing requirements and stays current on new billing guidelines.

• Actively participates in departmental and/or organizational process improvement initiatives.

• Providing ongoing training for staff in billing procedures, coding changes, and updates to insurance policies.

• Assists providers and staff in other departments with insurance and billing inquiries in a friendly and professional manner while on the phone or corresponding through email.

• Works on special projects related to A/R clean up as requested by manager.

• Performs other tasks as requested.

Qualifications:

• Knowledge of Behavioral Health and ABA billing codes & practices, required

• Knowledge of Occupational Therapy, and Speech-Language Therapy billing codes & practices (Preferred)

• Computer experience is essential, including, but not limited to practice management software - Familiar with Central Reach a HUGE plus

• Associate (Preferred) and/or Medical Billing Certification preferred. (AHIMA, AAPC)

• Prior billing experience required, 3+ years

• Medical Billing and Medical Coding experience

• Familiar with most Medical Insurance Payors (Medicare, Medi-Cal, HMO, FFS, TPAs, PPO and IPAs)

• High degree of accuracy and attention to detail

• Strong oral / written communication skills

• Ability to multitask in a fast-paced environment while dealing with frequent interruptions

• Possess a strong sense of urgency, organized and energetic team player who can work in both a team environment and independently

• Punctual, dependable, and responsible; able to pick up and learn tasks quickly. self-starter

• Excellent customer service skills

• Strong desire to meet the needs of families

 Perks and Benefits:

• Industry benchmarked, competitive pay, $27-$35/hr

• Medical, Vision, Dental- Anthem Insurance; 80% Employee, 50% Dependents

• Life and AD&D insurance

• Accident, Hospital Indemnity, Short Term Disability, and Critical Illness Insurance

• 4 free sessions and 15% discount for Mental Health with BetterHelp counseling

• Unlimited discounts with free Perks At Work membership

• 20% discount for Pet Insurance with Spot

• 401k Plan - Fidelity

• 10 paid days of vacation

• 9 paid holidays  

• 10 paid sick days

• Tuition discounts available to all employees through our University Partnerships

• Company sponsored, fun events for everyone

If you‘re interested in working with a fun group of team players and like to see rewarding results, our MeBe family is a great opportunity for you.

We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.