We are looking for a detail-oriented Billing Specialist to join a non-profit organization in Corona, California on a Contract basis. This role focuses on producing accurate medical billing records, submitting claims promptly, and helping maintain steady reimbursement through careful follow-up and documentation review. The ideal candidate will work closely with internal teams to support compliant billing operations while protecting sensitive information and meeting program and payer standards.
Responsibilities:
- Submit respite service claims through designated billing platforms, verify claim details before transmission, and track progress to support timely payment.
- Examine approved service documentation and create invoices based on complete, authorized records that meet billing and program guidelines.
- Process timekeeping information for respite staff, including worked hours and approved mileage, using validated source documentation.
- Audit service logs for missing or inconsistent information, correct issues when appropriate, and prepare records for billing readiness.
- Review receivable aging activity, investigate unpaid or delayed claims, and pursue follow-up actions to resolve outstanding balances.
- Support internal reviews and billing audits by organizing files, checking record accuracy, and confirming adherence to required procedures.
- Partner with Care Coordination, Intake, and other departments to confirm that service documentation supports claim submission and reimbursement.
- Maintain orderly billing reports, logs, and supporting records while safeguarding protected health information under California privacy and program regulations.
- Assist senior billing staff with reporting and daily workflow coordination to keep billing operations efficient and accurate.
- Experience in medical billing with the ability to manage claims, invoicing, and payment follow-up in a regulated environment.
- Working knowledge of medical claims processes, billing compliance standards, and documentation practices tied to payer requirements.
- Familiarity with medical coding concepts and the ability to identify record discrepancies that may affect claim accuracy.
- Background in accounts receivable follow-up or medical collections, including reviewing aging reports and addressing unpaid claims.
- Proficiency with electronic billing systems such as WellSky, e-billing platforms, or similar healthcare revenue cycle tools.
- Ability to handle confidential health information with discretion and in accordance with privacy laws and organizational policies.
- Strong attention to detail, organization, and accuracy when maintaining billing records, service logs, and audit documentation.
- Effective communication skills and the ability to collaborate across departments to support timely and compliant reimbursement activities.