Medical Billing Specialist

The award-winning
team at Executive Mental Health (EMH), is a leading behavioral healthcare group
in the State of California, who is seeking a Medical Billing Specialist with 3-5 years of experience for a
full-time position with the company to support the growth of EMH as a trusted
provider of integrated mental healthcare and play a critical role in healthcare.
The position offers competitive pay and benefits such as fully covered
healthcare, 401K retirement plan, paid parental leave, and more.

Job description:

As a valued employee of Executive Mental
Health, you’ll be part of a team dedicated to delivering high-quality billing
support to our clinicians offering patient care across California. Our medical
billing experts benefit from the stability of an administrative position in a
fast-growing industry, enjoy the support of and camaraderie among their peers,
and opportunities for professional growth as an essential part of the company’s
functioning.

Reporting directly to the Head of Billing, the
Medical Billing Specialist acts as the bridge between the team of practitioners
and insurance companies and contributes to the practice's overall revenue
performance. As an advocate for our patients, you’ll be working with a team making
a positive difference in the lives of the people of our community.

The ideal candidate will offer from 3 to 5
years of experience handling accounts receivable, including collections,
private billing, census reporting, Medicare, Medicaid, and Private insurance
management (HMO); and maintaining accurate accounting records.

This position is
remote with a PST preferred time zone. A stable internet connection is required
and virtual communication via Microsoft Teams is required.

Responsibilities:
Act as a valued member of the EMH team

- Demonstrate
respect and compassion in every interaction.
- Conduct
oneself with the highest degree of honesty and integrity in every interaction.
- Demonstrate
a passion for caring as evidenced by interaction with co- workers, residents,
families, and visitors.
- Routinely
attend department meetings and on-going in-service and training programs, to
present and exchange pertinent information.
- Relay
information between licensed staff and other staff members, and provide them
with updates as needed.

Support EMH’s strategic planning and optimal
financial reporting

- Contribute
billing information needed for strategic plans and reviews.
- Implement
production, productivity, quality, and customer-service standards.
- Resolve
problems and identify billing system improvements.

Ensure timely verifications & referrals

- Confirm/Verify
insurance benefits and financial data with the appropriate carrier via on-line
verification systems or telephone inquires.
- Obtain
and update demographic, next-of-kin, and insurance information, including
referrals, authorizations and signatures on patients following the Health
Insurance Portability and Accountability Act (HIPAA) rules and regulations.
- Respect
patient confidentiality and withholds restrictive information according to
HIPAA guidelines.
- Collect
appropriate documentation for managed care programs regarding referrals and
authorizations.

Facilitate payment processing, reconciliation,
and reporting

- Adhere
to established reporting procedures to ensure that the numbers balance.
- Maintain
working knowledge of all required computer systems.
- Maintain
current and accurate computer data.

Offer administration team support

- Welcomes
visitors by greeting them, in person or on the telephone; answering or
referring inquires. Answering, forwarding, screening phones calls and routing
calls as necessary.
- Assist
with administrative tasks including copying, faxing, taking notes,
making travel plans but not limited to scanning of medical records
- Schedule
appointments according to the templates/departmental scripts while meeting
business unit scheduling accuracy requirements.
- Schedule
appointments according to the physician templates for similar types of
physicians, generally at one office or multiple session timeshares (single
specialty phone room or front desk environment).

The job description above includes duties that
are essential functions, or fundamental duties. The essential functions of the
Medical Billing Specialist may differ based on job performance, staffing needs
and demand.

Desired skills and aptitudes

- Professional
integrity: Consistency, compassion, cultural competence, and sensitivity.
- Critical
thinking: Excellent judgment and creative problem-solving skills, including
negotiation and conflict resolution.
- Communication:
Strong written and oral communication skills; excellent interpersonal skills.

Requirements

Qualifications (required)

- Minimum
of 3 years of experience working as a Billing Specialist (required)
- University
Degree (desired)
- High
School Degree or equivalent (required)