Job details

Lead Medical Billing Specialist

MeBe is seeking a Lead Medical Billing Specialist. Our organization provides ABA - Applied Behavioral Analysis, Speech Therapy and Occupational Therapy. We are looking for an experienced individual who has excellent interpersonal skills, and a strong work ethic. The candidate should have the essential skills to exercise good judgment and demonstrate professionalism.

We are seeking a person with a solid understanding of billing and knowledge of what it takes to get a claim paid. You need to know how to ask the right questions and be skilled problem-solver. Claims collections and speaking to families is your jam.

Job Tasks:

Submits claims, processes follow-up on payer appeals, and will communicate with manager on status of claims
Follow up on accounts receivable. Contacting insurance carriers as needed to get maximum payment on accounts and identify issues or changes to achieve profitability
Performs secondary (and beyond) billing follow up.
Process on-line adjustments to insurance claims.
Complies with audit requests by insurance carriers in a timely fashion.
When necessary, reviews medical records and resubmits claims with appropriate documentation to expedite claims processing (adhering to confidentiality requirements).
Accurately processes corrections on accounts and/or active claims by error correcting or voiding transactions. Posts appropriate adjustments as needed.
Thoroughly researches credit balances and processes insurance refunds or adjustments as needed.
Responsible for keeping up to date with current insurance billing requirements and stays current on new billing guidelines.
Actively participates in departmental and/or organizational process improvement initiatives.
Providing ongoing training for staff in billing procedures, coding changes, and updates to insurance policies.
Assists providers and staff in other departments with insurance and billing inquiries in a friendly and professional manner while on the phone or corresponding through email.
Works on special projects related to A/R clean up as requested by manager.
Performs other tasks as requested.

Qualifications:

Knowledge of Behavioral Health and ABA billing codes & practices
Knowledge of Occupational Therapy, and Speech-Language Therapy billing codes & practices (Preferred)
Computer experience is essential, including, but not limited to practice management software - Familiar with Central Reach a HUGE plus
Associate (Preferred) and/or Medical Billing Certification preferred. (AHIMA, AAPC)
Prior billing experience required, 3+ years
Medical Billing and Medical Coding experience
Familiar with most Medical Insurance Payors (Medicare, Medi-Cal, HMO, FFS, TPAs, PPO and IPAs)
High degree of accuracy and attention to detail
Strong oral / written communication skills
Ability to multitask in a fast-paced environment while dealing with frequent interruptions
Possess a strong sense of urgency, organized and energetic team player who can work in both a team environment and independently
Punctual, dependable, and responsible; able to pick up and learn tasks quickly. self-starter
Excellent customer service skills
Strong desire to meet the needs of families

Perks and Benefits:

Industry benchmarked, competitive pay, $27-$35/hr
Medical, Vision, Dental- Anthem Insurance; 80% Employee, 50% Dependents
Life and AD&D insurance
Accident, Hospital Indemnity, Short Term Disability, and Critical Illness Insurance
4 free sessions and 15% discount for Mental Health with BetterHelp counseling
Unlimited discounts with free Perks At Work membership
20% discount for Pet Insurance with Spot
401k Plan - Fidelity
10 paid days of vacation
9 paid holidays
10 paid sick days
Tuition discounts available to all employees through our University Partnerships
Company sponsored, fun events for everyone

If you‘re interested in working with a fun group of team players and like to see rewarding results, our MeBe family is a great opportunity for you.

We are an equal opportunity employer and prohibit discrimination/harassment without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

MeBe Glassdoor Company Review

3.6

MeBe DE&I Review

No rating

CEO of MeBe

Patrick Bunt

Approve of CEO

Average salary estimate

$64480 / YEARLY (est.)

min

max

$56160K

$72800K

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What You Should Know About Lead Medical Billing Specialist, MeBe

Join MeBe in San Diego as a Lead Medical Billing Specialist and become a vital part of our team that provides top-notch ABA, Speech, and Occupational Therapy services! We’re on the lookout for an experienced individual who not only has a solid grasp of medical billing but also thrives in a dynamic, fast-paced environment where communication and problem-solving skills shine. Here, you'll take ownership of crucial tasks: submitting claims, following up on appeals, and ensuring that our billing practices align with current insurance requirements. Your understanding of disability services will help you tackle claims collections while your interpersonal skills will foster positive conversations with families and insurance carriers alike. We value professionalism and a strong work ethic, and we encourage our team to continue learning and improving. As a Lead Medical Billing Specialist, you’ll enjoy perks like competitive pay, comprehensive health benefits, and generous time off to maintain a healthy work-life balance. If you possess the ability to multitask while providing exceptional customer service, then the MeBe family might be your next home. This isn't just a job; it’s a place where teamwork and dedication lead to rewarding results. Come be a part of our journey to help families thrive, while furthering your career in a supportive and positive atmosphere!

Frequently Asked Questions (FAQs) for Lead Medical Billing Specialist Role at MeBe

What qualifications are required for the Lead Medical Billing Specialist position at MeBe?

To be considered for the Lead Medical Billing Specialist role at MeBe, candidates should have a minimum of 3 years of prior medical billing experience. A strong understanding of Behavioral Health, ABA billing codes, and knowledge of Occupational and Speech-Language Therapy billing practices are essential. An Associate's degree or a Medical Billing Certification from AHIMA or AAPC is preferred. Strong computer skills, especially with practice management software, and familiarity with different medical insurance payors are also crucial for success in this role.