Medical Billing and Denial Specialist

Job Description

Job Description

Salary : $21-$25

WE ARE TITANIUM HEALTHCARE

Titanium is a healthcare company that puts heart and compassion above all else. Millions of Americans just arent getting the medical care they need. Were on a mission to change that. For patients that means exceptional support and better care. For providers it means better support and time to focus on patients, and for partners that means higher quality and lower cost.

Join us in our mission!

POSITION SUMMARY

Titanium Healthcare is seeking a motivated Medial Billing & Denial Specialist to join our growing and dynamic team. This individual will be responsible for the posting, evaluation, billing of claims, and outstanding account receivable within the EHR (electronic health records) system. This includes evaluating EHR data integrity as it relates to account receivable, performing data entry, reporting, and billing tasks. In addition, the ideal candidate will be responsible for ensuring that information is processed accurately, payments are posted, and denials are resubmitted in a timely fashion. This individual will work in collaboration with the revenue cycle, finance, and data teams.

WHERE YOULL WORK

This position is hybrid. You will work onsite in our Garden Grove office at least three days per week. Standard business hours are Monday through Friday from 8 : 30 am to 5 : 00 pm.

WHAT YOULL DO

• Identify, notify, and work with internal team members on denial patterns and issues
• Collaborate with the 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 including follow ups 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 the revenue cycle manager and operational leadership on frequent issues to consult and advise on how to correct errors moving forward
• Develop and maintain claim resolution skills through continuous trainings, workshops, and education in collaboration with the revenue cycle manager
• Check eligibility on a bi-monthly basis for clients, compile list of clients with terminated Medi-Cal as needed, and provide reports to Management and the Operation teams
• Prioritize tasks and create a tracking system of claims and health plans
• Respond to all requests and communicate in a timely manner (typically less than 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

WHO YOU ARE

WHAT YOULL NEED

NICE TO HAVES

WHAT YOULL ENJOY

EEO Statement

At Titanium Healthcare, our mission is to fearlessly reengineer the way healthcare works to reduce costs, ensure better outcomes, and provide everyone, everywhere, with the kind of compassionate and coordinated care they deserve. We believe that achieving this mission starts with a diverse and inclusive workforce.

Titanium Healthcare is an equal opportunity employer. We are committed to promoting and celebrating all backgrounds and encourage all applicants, regardless of race, religion, gender, sexual orientation, disability, age, marital status, parental status, military or veteran status, or any other legally protected status, to apply. We believe that diversity and inclusion drive innovation and equity in healthcare, enabling us to better serve our communities and make a lasting impact.