Skilled Wound Care ยท 1 day ago
Lead Medical Biller
Los Angeles, CA
Full-time
Onsite
Mid, Senior Level
$25/hr - $28/hr
2+ years expSkilled Wound Care is a mobile surgical physician wound care group expanding into new markets of the United States. The Lead Medical Biller is a critical leader responsible for overseeing the daily operations of the billing team, ensuring maximum revenue capture through accurate and timely submission of medical claims across all payer types.
Health Care
Responsibilities
Supervise & Train: Lead the training and mentorship of new billing hires, ensuring rapid integration and consistent adherence to best practices
Quality Assurance: Assist management by conducting routine audits to ensure compliance with all regulatory and internal billing standards
Workflow Management: Partner with management to efficiently re-distribute workloads, optimize team capacity, and maintain productivity
Issue Resolution: Proactively identify, report, and collaborate on solutions for problematic issues impacting team duties, efficiency, or compliance
Claim Submission: Review, prepare, and verify all claims for accuracy, completeness, and documentation, ensuring they meet specific payer requirements for "clean" submission
Documentation & Verification: Verify all billing information, charges, patient documentation, and insurance coverage prior to claim submission
Follow-Up & Denial Management: Perform timely and aggressive follow-up on outstanding claims, meticulously resolve denials by correcting errors, gathering necessary documentation, and resubmitting claims efficiently
Payment Reconciliation: Analyze and interpret all Explanation of Benefits (EOBs) and Electronic Remittance Advice (ERAs), confirm accurate payment posting, and manage all necessary claim appeals for underpaid or denied services
Billing Compliance: Apply comprehensive working knowledge of governmental billing regulations, including Medicaid, Medicare, and Medi-Cal Managed Care
Qualification
Required
Good verbal and written communication
2+ years of Lead Medical Biller experience required
High School diploma or equivalent is required
Medical billing diploma or work experience
Knowledge of Microsoft Office, especially Excel
Preferred
Lytec or Medisoft experience a plus
Certification as a Certified Professional Coder (CPC) preferred
Benefits
Health, Dental, Vision Insurance
Generous 401 K plan
Paid time off
Life Insurance
Company
Skilled Wound Care
Skilled Wound Care provides professional wound, skin, and ostomy services to patients in nursing homes.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Bardia Anvar, MD
CEO
John Hensley
Vice President of Partnership Developenent
Recent News
Company data provided by crunchbase