Medi-cal Reimbursement Billing Specialist (41099)

DescriptionHinds LifeCare, one of the most well-known and well-respected nonprofit agencies in California’s Central Valley and a pioneer in the practice of hospice and palliative care, is seeking a Medi-cal Billing Specialist to join our team.

Under direct supervision of the Billing Manager, performs a variety of tasks in billing for patient care activity. Prepares claims, statements, and invoices to be sent to Medi-Cal, Medicare and private insurance companies. Manages accounts receivable and may perform special projects upon request.

Ensures proper documentation has been obtained. Verify patient insurance coverage and benefits. Request authorizations (and authorization extensions) as needed
Analyze, correct and/or attempt to bring to resolution at least 45 claims daily
Works towards reducing the total AR to only 90 days
Correct and resubmit denied claims within 48 hours
Submit hospice Notice of Election to Medicare and Medi-Cal payers.
Monitor insurance electronic claim billing process is completed successfully on a daily basis.
Monitor and manage accounts receivable to minimize overdue accounts and improve cash flow. Submit appeals as needed. Work closely with Billing Manager on client collections and conduct follow-ups on outstanding payments
Stay current with changes to Medicare, Medi-Cal, and private insurance billing regulations, and conditions of payment

Why Hinds LifeCare:

A mission-driven organization and a pioneer in hospice care, Hinds LifeCare seeks to uphold the dignity and ease the suffering of the terminally ill while supporting their loved ones and those who are grieving. Our vision is to be recognized for excellence in compassionate end-of-life care and specialized grief support services, accessible to all. We provide a compassionate presence, pursue excellence, act ethically, professionally, and with hope.

As a member of the Hinds LifeCare team, you’ll be part of an organization with a long history of recognition for excellence and compassion. Hospice work in any position – from medical to clerical -- can be demanding. But hospice work is rewarding, especially for a person with the dedication required to rise to the challenges of end-of-life care, regardless of the position they work.

Hinds LifeCare is Joint Commission accredited and was recently recognized by Fresno’s Marjaree Mason Center as its Leading Business for 2023.

Qualifications

Compensation $28 to $40 hourly. depending on experience
Generous benefits package, including:

Comprehensive health insurance (Medical, Dental, Vision)
Flexible Spending Account
401(k) with employer match
Life/AD&D insurance
Employee Assistance Program
Credit Union membership
Paid Time Off (24.5 days per year for FT employees, based on 40-hour work week)

Qualifications for this position include but are not limited to:

High school diploma or general education degree (GED); or one-year related experience and/or training; or equivalent combination of education and experience (Bachelor’s degree in related field preferred)
Must be able to function autonomously with flexibility and confidence and have the ability to function in an interdisciplinary team setting
Must possess good time management skills and demonstrate excellent communication skills and the ability to deal with difficult and complex situations
Demonstrated ability to function independently and with minimal supervision
Possess the ability to establish and maintain positive, collegial working relationships with both administrative and clinical staff
Proficiency in word processing and software programs
Possess reliable automobile which may be used in the course of work and have a valid California driver’s license with acceptable driving record
Proof of auto insurance and current auto registration
Ability to meet the physical demands of the job (Push, Pull, Lift/Carry 10 lbs)

If you are a person with the dedication, the compassion, the qualifications, and the skills required...
If you want to be part of a team that strives to provide the best in hospice and palliative care to the suffering and their loved ones...

Hinds LifeCare wants to hear from you!