Titanium Healthcare Inc.

Medical Billing, Denial Specialist

Titanium Healthcare Inc.

full-time

Posted on:

Location Type: Hybrid

Location: Garden Grove • California • United States

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Salary

💰 $21 - $25 per hour

About the role

  • Identify, notify, and work with internal team members on denial patterns and issues
  • Collaborate with direct manager and other team members to resolve issues timely
  • Evaluate patient accounts and take charge of insurance outstanding payments
  • Manage, track, and resolve complex denied and voided claims until the claim is paid
  • Achieve maximum reimbursement for services provided
  • Prepare and submit billing data and medical claims to insurance companies, including 837 and 1500 claims
  • Be proactive, creative, and flexible in determining, evaluating, researching, and resolving issues
  • Organize and prioritize multiple activities to meet all external and internal deadlines
  • Post payments accurately and timely to accounts
  • Collaborate with revenue cycle manager and operational leadership on frequent issues to consult and advise on how to correct errors
  • Develop and maintain claim resolution skills through continuous trainings, workshops, and education in collaboration with Revenue Cycle Manager
  • Check eligibility on a bi-monthly basis for clients and compiling list of clients with terminated Medi-Cal as needed and provide management and operations team reports
  • Prioritize tasks and create a tracking system of claims and health plans
  • Respond to requests and communication timely (within 24-48 hours)
  • Assist in the creation and review of billing procedures to ensure the company maintains compliance with local, state, and federal regulations
  • Perform other duties and projects assigned

Requirements

  • Diploma/GED required
  • Associate degree in medical or another related field preferred.
  • An equivalent combination of education and experience that provides the skills, knowledge, and ability to perform the essential job duties, which meets any required state or federal certification requirements
  • Minimum 3+ years of clinical AR, practice management, and/or medical administration experience
  • Distraction-free home workspace with a secure internet connection
  • Able to understand and become proficient in medical billing software
  • Familiarity with Medi-Cal, Medicare, commercial, and patient billing
  • Must have initiative, rely on experience, and sound judgement in making decisions in varied situations
  • Familiar with the utilization of an EHR (electronic health record) system
  • Ability to multi-task, prioritize, and see projects through to completion
  • Be able to work independently and is self-directed
  • Experience with primary care and Medi-Cal billing
  • Strong organizational and time management skills with attention to detail
  • Fluent in English (written and verbal)
  • Excellent verbal and written communication skills, including the ability to convey and exchange information in a clear and concise manner
Benefits
  • Make an impact: an organization who cares about its employees, communities, and the future of healthcare
  • Inclusivity: be a part of a workplace where you not only belong but also can be the best version of yourself
  • Growth: opportunities to develop and grow your career with us
  • Community: you are encouraged to have a voice, share your opinions, and have individual impact on the business
  • Paid Time Off: 12 holidays and up to 3 weeks of accrued PTO to rest and recharge plus additional time for sick, jury duty, bereavement, and reproductive loss
  • Work Life Balance: enjoy flexibility to maximize your well-being and success with our hybrid work model
  • Medical, Dental, & Vision Benefits: we cover up to 100% of your premium and 50% of your dependents depending on the plan
  • Flexible Spending, Health Savings & Dependent Care Accounts
  • Life/AD&D insurance funded 100% by Titanium Healthcare
  • Supplemental Short-Term Disability
  • Employee Assistance Programs
  • Protect your pet(s) with Pet Insurance
  • 401(k) plan
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
medical billingclaims resolutioninsurance claims processingbilling proceduresMedi-Cal billingMedicare billingEHR systemsclinical accounts receivablepractice managementmedical administration
Soft Skills
organizational skillstime managementcommunication skillsproblem-solvinginitiativeattention to detailflexibilitycreativityself-directedability to multi-task
Certifications
DiplomaGEDAssociate degree in medical field