Medical Billing Specialist

Planned Parenthood of Orange and San Bernardino Counties has a full-time opportunity for a Medical Billing Specialist in Anahiem, CA.

Medical Billing Specialist at PPOSBC is responsible for ensuring the timely submission of medical claims to insurance companies, including physician offices, payers, medical groups or other healthcare facilities and certifies clean claim, charge posting and billing to obtain accurate reimbursement for healthcare claims.

Medical Billing Specialist must possess solid knowledge of the billing process from start to finish including in depth knowledge of billing best practices.

Must serve as a subject matter expert and liaison between Management, Billing team and other stakeholders.

Must have knowledge in Family planning and Primary care billing, as well as possess the ability to identify billing errors that may result in corrections and when necessary, communicate the directives to necessary parties.

Responsible for entering, and correcting medical claims insurance information into a computer system and generating invoices to be sent to the health plans.

Responsible for compiling and updating revenue cycle management on payer billing and regulatory updates.

Medical Billing Specialist’s work is focused on all high-volume facilities and all payers, including State of California’s health programs.

At PPOSBC, we understand the importance of a well-rounded benefits program and are dedicated to providing you with unique benefits that meet the needs of you and your family.

We are proud to offer a range of plans that help protect you in the case of illness or injury including:


* A competitive benefits package including medical, dental, and vision coverage for you and eligible dependents, life insurance, and long term disability. 


* Benefits coverage starts after one full month of employment!


* Generous vacation, sick, and holiday benefits!


* Generous 401(k) matching contributions and more!


* To view our detailed benefits guide, please visit our career site at www.pposbccareers.org

Responsibilities

Essential Functions: Essential functions encompass the required tasks, duties and responsibilities performed as part of the job and the reason the job exists.


* Serves as a liaison between management and the billing team.


* Reviews appropriate documents for billing accuracy, corrects order code (appointment type), Billing Policy for instructions, financial class, demographics, medical records, proper physician information for billing requirements, place/date of service, and notes to determine accurate creation of the patient’s encounter.


* Reviews and monitors day to day productivity to ensure that billing deadlines are met.


* Maintains in-depth knowledge of payer regulations and reimbursement methodologies to assure accurate reimbursement.


* Keeps abreast of changes in authorization process, insurance policies, billing requirements, rejection or denial codes as they pe...