F/T Medical Billing Specialist-ON SITE ONLY-***INTERVIEWING NOW-THIS POSITION WILL BE AVAILABLE TO START IN DEC 2026***
Foothills Infectious Disease Medical Group, Inc. · Claremont, CA · 1 wk ago
On-siteHealthcareFull-time
Description I AM NOT INTERESTED AT ALL IN OUTSOURCING. NO BILLING SERVICES WILL BE CONSIDERED!!! THIS IS AN ON-SITE POSITION ONLY! In this position, you will be responsible for submitting inpatient and outpatient claims, and providing claims follow up for any and all payers. You will need to be able to multitask and prioritize responsibilities. The Medical Billing Specialist is an essential supporter of the mission, vision and values of the organization and maintains the highest degree of confidentiality in patient and staff, fiscal and organizational matters. Understands and adheres to all HIPAA regulations and requirements. Essential Functions Prepares and submits clean claims to various insurance companies and payers, either electronically or on paperParticipates in identifying and resolving patient billing concernsCorrects coding errors and resubmits claims to payersFollow up on unpaid claims within the standardized billing cycle timeframeChecks “superbills" for accuracy prior to entering into the systemResearches payment denials and re-submit for payment as necessaryAnalyzes and processes requests for refunds and credits Ability to answer all patient or insurance company inquiries pertaining to any accountOutstanding time management and problem solving skillsMust be well organized and detail-orientedProvides courteous and timely assistance to internal and external customers Requirements Education, Knowledge and Experience: High School Diploma or GED required. AA degree in business or any healthcare discipline, a plus.Minimum three (3) years’ experience as a Biller or Collector. Outpatient/Inpatient billing and Specialty billing, a plus Well-rounded extensive knowledge of medical terminology, billing procedures as well as CPT and ICD-10 codingExtensive experience and knowledge in Medicare, California State Medi-Cal, Work Comp, Managed Care and other medical/health insurances reimbursement principals Proficient in written and spoken English. Bilingual in Spanish, a plusData entry skills should be exceptional; skills in self-proofing essentialAbility to use critical thinking skills to interpret information furnished in written and oral form, and problem solve by researching to obtain resolute information Sound decision making ability to prioritize tasks based on available informationEvaluates situations and requirements in order to plan and adjust work accordinglyAbove average math skills to add, subtract, multiply and divide. Software And Equipment Uses Microsoft Word, Excel, Outlook, Email, Internet, proficientlyExperience working with an EMR and billing software, (Office Ally experience is a plus)Uses dedicated software to perform billing tasks. Prior experience with Office Ally a plusAbility to learn new programs quicklyAbility to use standard office equipment Environmental/Working Conditions Customary medical business office environment. Physical Demands Requires sitting and standing associated with a normal office environment. Manual dexterity needed for using a computer keyboard and other standard office equipment.This job description is intended to provide basic guidelines for meeting job requirements. Responsibilities, skills and working conditions may change as needs evolve.