Medical Billing Specialist
Location: Onsite 12205
Schedule: Full Time
Compensation: $20.00 – $25.00 per hour depending on experience

We are seeking a full-time Medical Billing Specialist to join our team. This role is essential to ensuring accurate documentation, billing, and reimbursement for the services we provide.

Position Summary
The Medical Billing Specialist is responsible for processing medical claims, managing patient billing, and ensuring compliance with all billing regulations. This role requires strong knowledge of medical coding, insurance policies, and healthcare billing procedures.

Minimum Qualifications

• High school diploma or equivalent required; associate degree or medical billing certification preferred
• Experience with Workers’ Compensation and No-Fault billing preferred
• Proven experience as a medical billing clerk or similar role
• Proficiency with ICD and CPT coding systems and billing software
• Strong understanding of healthcare billing processes, insurance policies, and reimbursement procedures
• Excellent attention to detail, accuracy, and organizational skills
• Strong communication and interpersonal skills
• Ability to work independently and collaboratively in a fast-paced environment
• Familiarity with EHR systems and medical terminology
• Knowledge of HIPAA and healthcare compliance standards

Key Responsibilities

• Assign accurate ICD and CPT codes for diagnoses, procedures, and services
• Prepare and submit electronic and paper claims to insurance companies and government agencies
• Verify patient insurance coverage, eligibility, and benefits
• Obtain pre-authorizations and referrals as required
• Generate and send patient invoices; follow up on unpaid claims and resolve discrepancies
• Post and reconcile payments from insurance companies and patients
• Respond to patient inquiries regarding billing, insurance claims, and financial responsibilities
• Provide explanations of benefits and assist patients in understanding charges
• Maintain accurate billing and payment records in compliance with HIPAA and other regulations
• Reconcile billing records with accounts receivable and financial reports
• Prepare reports on billing activity, claim status, and revenue performance
• Stay current with changes in billing regulations, coding guidelines, and insurance policies
• Participate in training sessions and workshops to maintain proficiency

Benefits

Dental insurance
Health insurance
Paid time off
Retirement plan


Equal Opportunity Employer / Disabled / Protected Veterans

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, AppleOne 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 for employment qualified applicants regardless of criminal histories, consistent with legal requirements, including, if applicable, the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. Pursuant to applicable state and municipal Fair Chance Laws and Ordinances, we will consider for employment-qualified applicants with arrest and conviction records, including, if applicable, the San Francisco Fair Chance Ordinance. 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.