Billing Specialist
Holding Hands Inc
full-time
Posted on:
Location Type: Hybrid
Location: Burbank • California • United States
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Salary
💰 $22 - $28 per hour
About the role
- Comply with all company policies, procedures, and regulatory requirements.
- Meet assigned productivity standards, deadlines, and performance goals.
- Maintain strict adherence to all legal and ethical billing practices, including federal and state regulations.
- Ensure the accurate and timely collection, preparation, verification, and submission of billing information within the EMR system.
- Review billing, collections, and denial reports regularly and recommend corrective actions to resolve and prevent claim denials.
- Serve as a liaison between payors, patients, and internal departments to address inquiries, provide documentation, and resolve billing issues.
- Review daily charge entries to confirm accurate CPT, ICD-10, and all required billing codes are complete and compliant.
- Compare coding against clinical documentation and collaborate with providers to clarify discrepancies, correct errors, and prepare appeals and reconsideration requests as needed.
- Research and appeal complex denials by reviewing payer policies, coding guidelines, contracts, and medical records, consulting subject matter experts when appropriate.
- Audit clinical documentation to ensure appropriate charge capture, maintain compliance, and reduce risk of denials.
- Identify denial trends and provide education to practice staff to improve documentation accuracy, authorization review, and overall billing performance.
Requirements
- Completion of college level coursework with a minimum of three to five years of relevant work experience, or an equivalent combination of education, training, and experience required.
- Demonstrated experience in commercial and Medicaid billing or coding within a healthcare setting required.
- Working knowledge of medical terminology required.
- Strong ability to multitask, prioritize responsibilities, and manage competing deadlines.
- Effective communication, interpersonal, and computer skills required.
- Ability to establish and maintain professional working relationships with staff and patients.
- Highly detail oriented with strong accuracy in reviewing charge batch submissions, analyzing and correcting coding denials, and preparing and presenting reports or analyses.
- Maintain current knowledge of industry regulations, payer requirements, and billing guidelines.
- Proficient in Microsoft Office applications required.
- Onsite Role
Benefits
- 401(k) retirement plan with company match
- Generous Paid Time Off including sick and mental wellness leave
- Paid training and continuing education allowance
- Comprehensive medical, dental, and vision insurance
- Paid holidays
- Unlimited employee referral bonus program
- Annual performance reviews with opportunities for compensation increases
- Flexible and supportive company culture
- Team building and social events held throughout the year
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
billingcodingCPTICD-10denial managementcharge capturemedical terminologybilling complianceappeals processdata analysis
Soft Skills
multitaskingprioritizationcommunicationinterpersonal skillsattention to detailaccuracyrelationship buildingproblem solvingtime managementeducation