Job Detail

Progress Speech & Language Center (PSL) is a leading pediatric therapy center in Orange County. You are invited to explore the excellent work environment, working with great co-workers at lovely work setting. PSL is passionate and dedicated to serving children and their families to make progress towards a brighter future. As a Central Reach System Manager and Medical Biller you will be managing the front and back-end system settings of Central Reach and leading the billing functions of this wonderful company to help others in the community!

The Central Reach System Manager and Medical Biller will be lead all medical billing, coding, invoicing, collections, in addition to maintaining and updating the company’s EMR client data (Central Reach)

Responsibilities

• Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing
• Managing front and back end settings and fuctions of Central Reach EMR
• Following up on unpaid claims within standard billing cycle timeframe
• Appeal payer denials due to Medical necessity, timely filing, office & insurance errors
• Identify underpaid procedures & prepare all supporting documentation for appeals
• Checking each insurance payment for accuracy and compliance with contract discount
• Calling insurance companies regarding any discrepancy in payments if necessary
• Identifying and billing secondary or tertiary insurances
• Reviewing accounts for insurance of patient follow-up
• Answering all patient or insurance telephone inquiries pertaining to assigned accounts
• Follow up patient account balance and mail statements
• Post and apply insurance and patient payments and balance bill patients
• Setting up patient payment plans and work collection accounts
• Prepare all the required Medical records, proof of timely filing and authorizations as needed
• Run A/R reports to follow up on outstanding patient insurance balance & unpaid ins. claims

Qualifications and Skills

A minimum of 3 years’ experience with ICD10, Central Reach, medical billing and coding, is required along with well-balanced skills. Candidate must have good communication skills.

• EMR System – Central Reach knowledge is required
• Ability to speak Spanish and/or Korean, is preferred
• CPT, ICD-10, Modifiers knowledge
• At least 3+ years of medical billing experience.
• AP/AR R experience
• Data Entry
• Efficient and attention to detail

This position is seeking local candidates only.

Job Type: Full-time

Pay: $25.00 - $30.00 per hour

Expected hours: 35 – 40 per week

Benefits: