Medical Biller

Expatiate Communication, Inc.

Expatiate Communications is a management consulting firm specializing in special education. We partner with school districts, COEs, state agencies, and families to strengthen instruction, services, staffing, compliance, and operations. Our work focuses on delivering high-quality, sustainable special education programs that improve outcomes for students with disabilities by meeting IEP needs and building capacity across educator teams.

Job Title: Medical Biller

The Medical Biller will be responsible for achieving billing standards as defined by the established billing timeliness policy. As a Medical Biller, you will be working closely with clients to answer questions related to billing, processing all forms needed for insurance billing purposes, and collecting necessary documentation from clients.

Location: Pasadena, CA

Employment Type: Per Diem (Variable)

Pay Range: $22.00 - $27.00 per hour

Responsibilities:

• Ensures timely resolution and follow-up of outstanding accounts receivable to maintain a healthy billing cycle.
• Processes and submits claims, including Hospital, Physician, Medi-Cal, Managed Care, HMO/PPO, and out-of-state Medicaid, in accordance with established policies, procedures, and required time frames.
• Conducts follow-up on Outpatient Medi-Cal, Managed Care, HMO/PPO, and out-of-state Medicaid claims to ensure prompt reimbursement.
• Reviews, processes, and submits all required forms and documentation received from insurance carriers.
• Accurately enters all billing and payment information into the system, ensuring data integrity and minimizing errors.
• Follows up with clients regarding outstanding balances and payments as needed.
• Verifies insurance payment accuracy and assigns appropriate payment posting codes in a timely manner.
• Upholds the highest standards of confidentiality in handling all patient and financial information in compliance with HIPAA regulations.
• Performs additional duties as assigned and provides support on special projects as needed.

Competencies:

• Excellent verbal and written communication skills.
• Strong analytical and problem-solving skills.
• Excellent organizational skills and attention to detail.
• Excellent time management skills with a proven ability to meet deadlines.
• Ability to prioritize tasks and to delegate them when appropriate.
• Ability to follow through with tasks with minimal or no supervision

Knowledge, Skill & Other Requirements:

• Must be legally eligible to work in United States.
• High School diploma or GED equivalent required.
• Minimum of 3 years' experience in Billing required.
• Knowledge of reimbursement for LEA BOP providers preferred.
• Knowledge of Medi-Cal, Managed Care and HMO/PPO process and billing guidelines.
• Knowledge of CPT, ICD9, ICD10 Codes, Modifiers. Surgical Procedure Codes and Revenue Codes.
• Knowledge of Medicare Part A and B.
• Knowledge of utilizing Insurance websites for claim status.
• Proficient with Microsoft Office programs including Outlook, Word, Excel.

Per-Diem Benefits:

• Paid Sick Leave
• 401K with matching

Eligibility for benefits may vary based on employment status, classification, and other factors. Not all benefits are available to all employees. Benefits are administered in compliance with applicable federal and state laws and regulations.

This job description is intended to provide a general overview of the essential functions and responsibilities of this position. It is not intended to be an exhaustive list of all duties, skills, or requirements. The duties, responsibilities, and other requirements of this position may be subject to change or modification at any time by the organization, with or without prior notice. Expatiate Communication, Inc. reserves the right to modify the job description at any time, with or without notice.

Individual compensation packages are based on various factors unique to each candidate, including skill set, experience, qualifications, geography, and other job-related reasons. Expatiate Communications is an equal-opportunity employer. Expatiate Communications considers all qualified applicants and employees for hiring, placement, and advancement without regard to a person's race, color, religion, national origin, age, genetic information, military status, gender, sexual orientation, gender identity or expression, disability, or protected veteran status.