Medical Billing Specialist
About ClinNEXUS:ClinNEXUS Inc. is a leading healthcare organization committed to transforming lives through innovative, patient-centered care solutions. Rooted in a mission to bridge healthcare gaps, we leverage technology, data, and compassionate care to deliver exceptional outcomes for our patients and communities.Position Summary:ClinNEXUS is seeking a 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.Key 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.Qualifications:RequiredDegree or certification in Medical Billing/Coding or a related fieldDemonstrated experience in medical billing or a similar roleStrong skills using electronic medical records (EMR) systems and other relevant softwareFamiliarity with medical terminology, insurance procedures, and healthcare laws related to billingExceptional accuracy in managing billing codes and claims to ensure maximum reimbursement and complianceStrong analytical skills to resolve billing discrepancies and issues efficientlyAbility to prioritize tasks and manage time effectively in a remote work environmentExcellent verbal and written communication skills to interact professionally with providers, insurance companies, and patientsCommitment to maintaining patient confidentiality and adhering to HIPAA regulations at all timesPreferredExperience with Power BI or similar reporting/analytics toolsPrior experience in a remote work settingFamiliarity with multiple EMR platformsAdvanced knowledge of healthcare billing trends or revenue cycle management best practicesWork Environment:This role is fully remote within the state of California. Preference will be given to candidates based in the Los Angeles/Orange County area. Periodic travel is required, approximately quarterly, to attend team meetings, training sessions, and company events.Compensation:Pay Range: The good faith pay range for this position is $50,000 to $65,000 annually. The specific pay within this range will be based on the candidate's qualifications, including experience, skills and geographic location.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.ClinNEXUS Inc. is an equal-opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.