Medical Biller - Military Veterans

AppleOne is proud to present:
We are seeking a highly motivated and detail-oriented Reimbursement Specialist to join our growing team. The Reimbursement Specialist will be responsible for ensuring timely and accurate processing of claims and maximizing reimbursement for services provided. This role requires a strong understanding of healthcare billing regulations, coding, and payer requirements.

Responsibilities:

Prepare and submit electronic and paper claims to insurance payers.
Monitor claim status and follow up on denied or unpaid claims.
Research and resolve claim denials and appeals.
Analyze reimbursement trends and identify opportunities for improvement.
Maintain up-to-date knowledge of billing regulations, coding guidelines, and payer policies.
Work closely with other departments, such as coding and clinical staff, to ensure accurate and complete documentation.
Respond to inquiries from patients, insurance companies, and other stakeholders regarding billing and reimbursement.
Reconcile payments and prepare reports on reimbursement activity.
Identify and report any discrepancies or potential compliance issues.
Assist with special projects as needed.

Qualifications:

High School Diploma or equivalent required; Associate's or Bachelor's degree in Healthcare Administration, Business, or a related field preferred.
2+ years of experience in healthcare billing and reimbursement.
Strong understanding of medical coding (ICD-10, CPT, HCPCS) and billing practices.
Knowledge of HIPAA regulations and other relevant healthcare compliance requirements.
Experience with electronic health records (EHR) and practice management systems.
Proficiency in Microsoft Office Suite (Excel, Word).
Excellent analytical, problem-solving, and communication skills.
Strong attention to detail and accuracy.
Ability to work independently and as part of a team.

Preferred Qualifications:

Certification in medical billing or coding (e.g., Certified Professional Biller (CPB), Certified Coding Specialist (CCS)).
Experience with specific payer requirements (e.g., Medicare, Medicaid, commercial insurance).

Apply for this great position as a reimbursement specialist today!

EEO/AA Employer/Vet/Disabled.





The Know Your Rights poster is available here:


https://www.eeoc.gov/sites/default/files/2023-06/22-088_EEOC_KnowYourRights6.12.pdf





The pay transparency policy is available here:


https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf





For temporary assignments lasting 13 weeks or longer, the Company is pleased to offer major medical, dental, vision, 401k and any statutory sick pay where required.





We are committed to working with and providing reasonable accommodations to individuals with disabilities. If you need a reasonable accommodation for any part of the employment process, please contact your staffing representative who will reach out to our HR team.





AppleOne participates in the E-Verify program in certain locations as required by law. Learn more about the E-Verify program.


https://e-verify.uscis.gov/web/media/resourcesContents/E-Verify_Participation_Poster_ES.pdf





We also consider qualified applicants regardless of criminal histories, consistent with legal requirements. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records. For Los Angeles, CA applicants: Qualified applications with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.


#1087

Executive (SVP, VP, Department Head, etc)