Medical Billing Specialist

About ClinNEXUS:

At ClinNEXUS - we are changing lives through our mission of "Navigating Complexity, Empowering Lives" and growing fast! We're pioneering a transformation in the American healthcare system through proactive community engagement at the grassroots level. Our goal is to forge social connections, enhance clinical outcomes, and lower healthcare expenses for our patients. We do this by being proactive via individualized patient assessments, comprehensive care plans, care coordination, and health promotion, ensuring we are fully equipped to address every patient and their unique needs.

To learn more about our innovative solutions and how we're simplifying healthcare, visit our website at https://clinnexus.com

The Role:

ClinNEXUS is seeking a dedicated part-time Medical Billing Specialist to join our team. In this role, you will be responsible for ensuring timely submission of invoices, coordinating with providers and insurance companies, and collaborating effectively with our team. Attention to detail and a strong understanding of medical terminology, insurance procedures, and healthcare laws and regulations regarding medical billing are essential for success in this position.

This is a fully remote, part-time position (20 hours/week) available to candidates across the US. Preference will be given to candidates based in California or those willing to work in the Pacific Time Zone. The annual salary range for this position is $20,000 to $30,000.

Responsibilities:

Billing and Coding:

• Accurately translate medical procedures, diagnoses, and equipment into standardized codes (CPT, ICD-10, HCPCS) for billing purposes.
• Utilize correct coding to maximize reimbursement from insurance companies and patients.

Claim Submission:

• Prepare and submit insurance claims promptly and accurately.
• Ensure all claims are thoroughly reviewed for accuracy before submission.

Follow-up on Claims:

• Monitor the status of submitted claims.
• Investigate and resolve unpaid or denied claims, and resubmit when necessary.

Compliance:

• Stay informed about changes in healthcare laws and regulations to maintain compliance.
• Adhere to HIPAA regulations and ensure patient confidentiality at all times.

Documentation and Records:

• Maintain precise and organized records of all billing and claims activities.
• Ensure that all documentation adequately supports the claims submitted.

Requirements:

• Education: Degree or certification in Medical Billing/Coding or a related field is preferred.
• Experience: Demonstrated experience in medical billing or a similar role is essential.
• Technical Proficiency: Strong skills in using electronic medical records systems and other relevant software.
• Medical Knowledge: Familiarity with medical terminology, insurance procedures, and healthcare laws related to medical billing.
• Attention to Detail: Exceptional accuracy in managing billing codes and claims to ensure maximum reimbursement and compliance.
• Problem-Solving: Strong analytical skills to resolve billing discrepancies and issues efficiently.
• Time Management: Excellent ability to prioritize tasks and manage time effectively in a remote work environment.
• Communication: Outstanding verbal and written communication skills to interact professionally with providers, insurance companies, and patients.
• Confidentiality: Commitment to maintaining patient confidentiality and adhering to HIPAA regulations at all times.

Does this sound like an ideal match and something you would want to be considered for?

If so, please apply as soon as possible as we are interviewing immediately. No cover letter is required.