We are seeking a detail-oriented and experienced Medical Billing Supervisor to join our team in our Santa Cruz, Monterey and Santa Clara County, CA. The ideal candidate will have a strong background in medical billing and coding, excellent organizational skills and Spanish speaking preferred., and must have the ability to lead and collaborate effectively across departments.
Responsibilities
Supervise and oversee daily medical billing operations ensuring accuracy and compliance.
Work collaboratively with 3 rd party billing/offshore team and respond to questions/inquiries
Prioritize and organize billing tasks efficiently to meet deadlines.
File appeals and follow up on claims to ensure timely reimbursement.
Maintain professional and positive communication with patients, especially in difficult situations, and collaborate effectively with co-workers.
Work closely with all departments to provide input related to billing processes and impacts.
Stay informed and compliant with multiple insurance plan guidelines (PPO, HMO, EPO, POS, etc.) related to SHMD services. Training will be provided.
Assist with Durable Medical Equipment (DME) billing processes. Training will be provided.
Access multiple insurance portals and third-party platforms.
Qualifications
Completion of an associate degree or online program in medical billing and coding OR at least 5 years prior experience in general medical billing knowledge.
Computer and internet literate with proficiency in Office 365, Outlook, and Office Suite.
Intermediate level internet navigation skills, including the ability to manage multiple tabs and windows simultaneously.
Strong keyboarding and typing skills.
Professional verbal and written communication skills.
Ability to prioritize tasks in an organized manner.
Knowledge of multiple insurance plan guidelines (PPO, HMO, EPO, POS, etc.) related to SHMD services. Training will be provided.
Proficiency in filing appeals and following up on claims.
Knowledge of Durable Medical Equipment (DME) billing is preferred. Training will be provided.
Experience with Athena (EMR) is preferred.
Maintain a professional, positive attitude when interacting with patients and co-workers.
How to Apply
If you meet the qualifications and are interested in joining our team, please submit your resume and cover letter for consideration.
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