Senior Medical Claim Specialist

2 semanas atrás

Laguna, Brasil beBeeCareer Tempo inteiro US$70.000 - US$75.000
Medical Billing Manager Position

We are seeking an experienced medical billing professional to oversee our billing operations and ensure timely submission of claims. As a key team member, you will be responsible for supervising staff, managing data entry, reporting, and communicating with various stakeholders.

Key Responsibilities:
  • Supervise staff members, including performance management and evaluations
  • Ensure the billing team meets productivity expectations and deadlines
  • Oversee day-to-day tasks such as submitting claims for contract entities
  • Investigate and resolve claim denials or discrepancies in a timely manner internally and within the county billing system
  • Verify notes in the Electronic Health Record (EHR), Medi-Cal eligibility, re-entering notes, batching notes, and fixing errors
  • Oversee private insurance claims with data entry into secondary billing software and legal document data collection
  • Maintain point of contact for county (IRIS) System RCA
  • Maintain accurate reporting of EHR billing queues, and county billing queues
Requirements:
  • High school diploma or general education degree (GED) required; and two years' related experience; or an equivalent combination of education and experience
  • Previous supervisory experience preferred
  • Ability to organize and follow through with tasks, manage a team to achieve goals
  • Adaptable to agency needs, clear and professional communication with all agency staff & county contracted employees
  • Awareness and demonstration of sensitivity to diverse socioeconomic and multicultural backgrounds
  • Reliable and dependable
  • Familiar with Medical & 3rd party providers
  • Knowledgeable in basic computer troubleshooting methodology
  • Computer proficiency with Microsoft Office Suite, Outlook, Word, Excel, and database skills
  • Computer literacy with EXYM and (IRIS) applications preferred
  • Certifications in SQL, CompTIA Network+, database management, or data analysis preferred but not required
About Our Organization:

We provide services and programs that prevent, treat, and heal kids and families, increasing their ability to live full and productive lives.

Why Work with Us?

As a medical billing supervisor at our organization, you will have the opportunity to work with a dedicated team of professionals who share your passion for improving the lives of children and families. You will also have access to comprehensive employee benefits, including medical, dental, vision, life insurance, long-term disability, and a retirement plan.

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