Healthcare Billing Specialist

2 weeks ago


Los Angeles, California, United States 360 Behavioral Health Full time

Job Category :
Z&S Management Chatsworth Support Center

Requisition Number :
MEDIC003108

Employment Type:
Full-Time
On-site

At 360 Behavioral Health, we are dedicated to delivering outstanding support for individuals affected by autism and other developmental challenges.

With over thirty years of experience, we stand as one of the foremost authorities in Applied Behavior Analysis (ABA)-based behavioral health services.

Our commitment to excellence has earned us recognition as one of "The 5 Best ABA Therapy Providers for 2023," and we are proud to be designated as a certified "Best Place To Work."

Role Overview:
The Healthcare Billing Specialist is essential in overseeing the revenue cycle, ensuring precise billing and prompt reimbursement. This role is vital in maintaining the financial stability of the organization through effective claims management, communication, and problem resolution.

Key Responsibilities:
- Preparing, reviewing, and submitting claims using billing software (both electronic and paper claim processing).
- Collaborating with various departments to rectify information (e.g., policy number, authorization number, diagnosis code).
- Verifying service code rates for accuracy and compliance.
- Identifying and billing secondary or tertiary insurances.
- Reviewing accounts for follow-up with insurance or patients.
- Addressing inquiries from patients or insurance regarding assigned accounts.
- Ensuring patient bills are accurate and complete, obtaining any missing information.
- Assisting with administrative tasks as necessary.
- Supporting team members and other departments as required.
- Completing all tasks assigned by leadership and/or the business.

Qualifications:
- A high school diploma is required.
- An associate's degree in business administration, accounting, or healthcare administration is preferred.
- Knowledge of insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
- Familiarity with CPT and ICD-10 coding.

Preferred Skills:
- Proficient use of computer systems, software, and 10-key calculators.
- Strong communication skills for resolving issues with insurance payers.
- Customer service skills for engaging with patients regarding claims and payments.
- Ability to work effectively in a team environment, prioritize tasks, delegate responsibilities, and manage conflicts.
- Problem-solving skills to investigate and resolve discrepancies, denials, appeals, and collections.
- Understanding of accounting and bookkeeping practices.
- Knowledge of medical terminology relevant to medical claims.
- Commitment to maintaining patient confidentiality in accordance with the Health Insurance Portability and Accountability Act (HIPAA).
- Ability to manage multiple tasks simultaneously.

What We Offer:
- Competitive compensation (we value transparency) {$23.00-$25.00/hour}
- Student loan repayment assistance for eligible roles
- Bonus programs for eligible roles
- Opportunities for career development and advancement
- A vibrant and enjoyable company culture
- Comprehensive health, vision, and dental plans for our full-time partners
- 401(K) retirement savings program
- Mileage and phone reimbursement
- And much more

360 Behavioral Health is an equal opportunity employer. We are committed to providing reasonable accommodations for individuals who may require assistance in accessing any portion of our online system.

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