Medical Billing Specialist - California Medi-Cal Billing & Collections

FullTime - Billing Specialist

BayMark Health Services is looking for an organized, analytical and detail-oriented Billing Specialist to manage billing processes and claims submissions. Additionally, the billing specialist is responsible for reporting expiration of patient authorizations, recording / maintaining adjustment spreadsheets, and managing assigned accounts.

Responsibilities:

• Medical AR follow-up procedures to include reviewing and working aging reports, denials and insurance correspondence from various insurance carriers

• Data entry of charges and billing of claims to various insurance companies

• Ability to analyze, audit, and document actions taken on each account

• Submit and review outstanding claims, contact insurance carrier(s) for resolution

• Reconcile various accounts, post payments and initiate refund requests when appropriate

• Receive and place call as necessary to resolve insurance / patient claims while maintaining the highest level of professionalism

• Other duties as assigned.

Qualifications:

• Previous physician office/hospital billing experience required (5-years’ experience preferred)

• Must have strong working knowledge of Texas Medicaid, Medi-Cal, managed care and commercial Plans

• Experience in medical terminology, ICD-9 coding, CPT codes, UB04 and 1500 claim forms

• Must be highly proficient in Microsoft Excel.

• Ability to self-manage work volume, partner with co-workers as needed, and multitask

• Compliance with all billing related HIPAA policies, along with internal policies / procedures

• Excellent verbal and written communication skills

• Satisfactory drug screen and criminal background check

Benefits:

• Competitive salary

• Comprehensive benefits package including medical, dental, vision and 401(K)

• Generous paid time off accrual

• Excellent growth and development opportunities

• Satisfying and rewarding work striving to overcome the opioid epidemic

Here is what you can expect from us:

BayMark Health Services, a progressive substance abuse treatment organization, is committed to the highest quality of patient care in a comfortable outpatient and inpatient clinic setting. Our goal is to address the physical, emotional, and mental aspects of opioid use disorder to help each of our patients achieve long-term recovery and an improved quality of life.

BayMark Health Services is committed to Equal Employment Opportunity (EEO) and to compliance with all Federal, State and local laws that prohibit employment discrimination on the basis of race, color, age, natural origin, ethnicity, religion, gender, pregnancy, marital status, sexual orientation, citizenship, genetic disposition, disability or veteran’s status or any other classification protected by State/Federal laws.