Requirements:

Minimum of 4 – 6 years of experience in a Medical Billing & Insurance Verification.

Experience with direct insurance billing for Mental Health Services, Medicare, HMO Risk Medicare, Commercial Insurance and patient billing. Strong understanding of health insurance billing or claim processing. Working knowledge of the differences between Managed Care, PPO, Medicare and Medi-Cal health plans. Ability to read and understand Medi-Cal eligibilities. Insurance verification for Mental Health Services, must be comfortable with spending many hours on calls with insurance companies. Must be computer literate with a focus on Word documents, Excel spreadsheets, Outlook, Speedy Claims and reports. Strong administrative skills in a healthcare setting. Must be able to work independently without constant supervision. Excellent communication and customer service skills are a must.

Job Summary:

Private insurance biller will provide support to Data Specialist, Sr Data Specialist, Program Director as a lead biller. Private Insurance biller will maintain current data, train staff to read eligibility types, balance bill for PI clients, submit claims, track and follow up with insurance companies.

 

We will consider for employment all qualified Applicants, including those with Criminal Histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles Fair Chance Initiative for Hiring Ordinance.

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