Medical Billing Specialist

Salary: $25 - $29 per hour. Key Responsibilities Daily Billing Operations: Reconcile billing records for accuracy, including authorizations, eligibility, diagnoses, and modifiers; analyze daily billing reports and flag discrepancies. Auditing & Compliance: Conduct monthly audits of billable claims to ensure compliance; submit claims and follow up on outstanding or denied submissions. Collaboration & Communication: Work with the Billing Supervisor to resolve audit findings and claim issues; coordinate with agencies to address reimbursement and documentation concerns; partner with the Clinical Department to verify service documentation. Documentation & Tracking: Maintain admissions tracking for new clients, discharges, and status updates; monitor authorization requests/extensions and ensure timely submission; review group counseling and education session logs for billing accuracy. System Proficiency: Use electronic health record systems (e.g., PCNK, MyEvolv) for billing activities; stay current on Title 22, Title 9, and DMC Provider Manual guidelines. Must-Have Skills & Knowledge Medical billing and coding (ICD-10, CPT, HCPCS) Claims processing and revenue cycle understanding EHR/EMR system proficiency Microsoft Excel expertise Strong organizational and time management skills Clear written and verbal communication Basic math skills Team collaboration Familiarity with DMC procedure codes Education & Experience Requirements High school diploma or GED (Required) Medical Billing Certificate or equivalent experience (Preferred) Minimum 3 years of hands‑on medical billing experience (Required) At least 1 year working with SAPC DMC‑ODS billing system (Preferred) Experience in denied claims handling, auditing, and billing correction Benefits Medical Dental Vision 401K Growth Options Equal Employment Opportunity Jobot is an Equal Opportunity Employer. We provide an inclusive work environment that celebrates diversity and all qualified candidates receive consideration for employment without regard to race, color, sex, sexual orientation, gender identity, religion, national origin, age (40 and over), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. Jobot also prohibits harassment of applicants or employees based on any of these protected categories. It is Jobot’s policy to comply with all applicable federal, state and local laws respecting consideration of unemployment status in making hiring decisions. #J-18808-Ljbffr