Medical Biller Specialist

3 days ago

Newport Beach, United States Premier Health Group Full time
Job Title: Medical Biller

Company Overview:

Premier Health Group is a leading healthcare organization dedicated to providing comprehensive mental health services to individuals and families across our communities.

We are committed to excellence and innovation, driving our mission to deliver personalized care and support to those in need.

Our focus on holistic well-being integrates cutting-edge technology with compassionate care to empower our patients on their journey to mental wellness.

Position Overview:

Premier Health Group is seeking an experienced Medical Biller with proficiency in utilizing CollaborateMD and a strong background in the mental health field.

The ideal candidate will play a pivotal role in our billing department, ensuring accurate and timely processing of medical claims related to mental health services.

This position requires attention to detail, excellent communication skills, and a thorough understanding of medical billing procedures in the mental health sector.

Key Responsibilities:

  • Utilize CollaborateMD software to process medical claims for mental health services, ensuring accuracy and compliance with billing regulations.
  • Verify insurance coverage and eligibility for mental health patients, including Medicaid and private insurance plans.
  • Review and analyze patient medical records to accurately assign appropriate diagnosis and procedure codes for billing purposes.
  • Collaborate with healthcare providers and clinical staff to resolve billing discrepancies and ensure proper documentation of services rendered.
  • Follow up on outstanding claims, denials, and appeals to maximize reimbursement for mental health services.
  • Maintain up-to-date knowledge of industry regulations, coding guidelines, and insurance policies relevant to mental health billing.
  • Provide excellent customer service to patients, insurance companies, and internal stakeholders regarding billing inquiries and concerns.
  • Generate billing reports and financial analyses to support decision-making processes within the organization.

Qualifications:

  • Minimum of 2 years of experience in medical billing, with a focus on mental health services.
  • Proficiency in utilizing CollaborateMD and various payer portals.
  • Strong understanding of ICD-10 and CPT coding principles, with the ability to accurately assign codes for mental health diagnoses and treatments.
  • Familiarity with insurance verification processes, including Medicaid and commercial insurance plans.
  • Excellent communication skills, both verbal and written, with the ability to effectively interact with diverse stakeholders.
  • Detail-oriented with a high level of accuracy in data entry and documentation.
  • Ability to prioritize tasks and manage workload in a fast-paced environment.
  • Certification in medical billing and coding preferred.

Benefits of Working at Premier Health Group:

  • Competitive 401k plan with employer match
  • Paid time off (PTO) policy
  • Health, dental, and vision insurance options
  • Access to nearby gym facility
  • Professional development opportunities

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