Job Description

🌟 Join Our Dynamic Medical Billing Team in South Pasadena, CA! 🌟

Are you passionate about making a positive impact on the lives of children? Total Education Solutions, a leading pediatric therapy service provider, is seeking a dedicated and detail-oriented Medical Billing Specialist to join our team. Enjoy a collaborative work environment and grow professionally while benefiting from our comprehensive medical benefits, up to 13 paid holidays, and professional development reimbursement. If you are a motivated individual with a passion for contributing to the well-being of children, we invite you to apply!

💼 Medical Billing Specialist

💰  $18 - $24.64/hr*
*Salary range is contingent upon relatable experience, credentialing/certification, education, and use of a second language in your role (50% of the time).

• Competitive Total Compensation Package
• Merit-based Annual Raises
• Excellent Mentorship Program & Exceptional Training Programs
• Opportunities for Professional Growth & Advancement
• Comprehensive Benefits including Health, Dental, & Vision Insurance
• Generous Paid time off & Retirement Plans

🎯 Expectations:

• Verify Benefits and Eligibility: Verify patient insurance benefits and eligibility before services are rendered, ensuring accurate billing and minimizing denials.
• Manage Insurance Claims: Accurately prepare, submit, and follow up on insurance claims to ensure timely reimbursement for services provided.
• Handle Denials and Appeals: Identify and address claim denials, initiate appeals, and work with insurance companies to resolve issues promptly.
• Patient Billing and Inquiries: Generate patient statements, handle billing inquiries, and provide clear explanations of charges and insurance benefits to patients and families.
• Maintain Accurate Records: Ensure accurate entry and maintenance of billing information in the clinic’s electronic health record (EHR) system, maintaining confidentiality and compliance with regulations.
• Collaborate with Staff: Work closely with therapists, administrative staff, and insurance companies to streamline the billing process and improve overall efficiency.
• Stay Updated on Regulations: Keep abreast of changes in insurance policies, billing codes, and healthcare regulations to ensure compliance and optimize billing practices.

Minimum Requirements:

• High School Diploma or GED equivalent
• At least 1 year of experience in a office setting
• High attention to detail and accuracy when dealing with financial data
• Hold appropriate automobile insurance with limits that allow driving a personal vehicle for work (at least 25/50k liability coverage)
• Must clear a current background check through the FBI and DOJ
• A current TB Test (within the last 6 months) 

🌈 Environment & Physical Qualifications:

• Varied work environments, including classrooms, clinics, and homes
• Moderate to loud noise levels and physical demands may vary
• Working with individuals exhibiting diverse behaviors and needs

About TES :

Total Education Solutions (TES) empowers individuals of all abilities through customized education and therapeutic services. Join us in our mission to make a difference in the lives of those we serve!

Total Education Solutions is an Equal Opportunity Employer. We do not discriminate in employment and personnel practices based on race, sex, age, handicap, national origin, or any other basis prohibited by applicable law. Hiring, transferring, and promotion practices are performed without regard to the above-listed items.

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