MediCal Billing Specialist Job at MALIBU GROUP LLC, Malibu, CA

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  • MALIBU GROUP LLC
  • Malibu, CA

Job Description

FACILITY MEDICAL BILLER

MG Billing is a boutique billing and insurance services company, looking to add a medical biller to their Billing Administration Team in behavioral health facility department. The position involves working closely with both owners/doctors of facilities/practice groups, their related staff, and insurance representatives ranging from provider service reps to managers/directors of departments/regions- in order to ensure both the highest level of customer service for clients and maximum reimbursements for services rendered. An MG biller must be detailed oriented, strong in follow up calling, and possess a passion for creative problem solving.

Job responsibilities include:

Weekly billing of services rendered by provider (averaging 100-200 claims- varies per account)

Daily collections- obtaining status through insurance representatives (and online resources), maintaining schedule of each policy reimbursement to ensure uniform and highest paying reimbursement

Daily posting and applying payments received to keep client financials as up to date and accurate as possible

Build, populate, and review census of services based off of client reports/medical records

Review and submit medical records and other documentation- to ensure services meet required insurance standards and to respond to insurance medical record requests in a timely manner

Monthly submission of appeals for retro authorization, higher reimbursement, medical necessity, non-covered service

Monthly/Weekly reports to clients on reimbursement and census performance

Monthly statement generation and mailing

Setting up providers with online access and payment tools

Qualifications:

High School Diploma or Equivalent

3+ Years Medical Billing/Administration Experience

Certification in Coding a plus, but not required

HIPAA compliance trained, also a plus

Skills Required:

Ability to work remotely

Detail oriented

Strong time and workload management skills

Experience in EMR systems (CollabMD preferred, but not required)

Working knowledge of CPT Codes

Ability to work in/utilize online insurance resources

Proficiency in Microsoft Word, Excel, and PowerPoint

Critical/Creative thinking

This is a remote position.

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