Hospice Medi-Cal Billing Specialist — AR & Denials Expert

Hinds Hospice; Fresno (CA); On-site; USD 39,000 - 55,000; Full time

Benefits offered by this job

Health insurance

FSA

401(k) with match

Life/AD&D insurance

Employee Assistance Program

Credit Union membership

PTO

Job summary

Hinds LifeCare seeks a Medi-cal Billing Specialist to join its Fresno-based team. You will ensure proper documentation, verify patient insurance, and obtain necessary authorizations.

You will analyze and resolve claims daily and work to keep AR at 90 days. Responsibilities include submitting notices to Medicare/Medi-Cal, monitoring daily billing, and staying current with billing regulations affecting Medicare and private insurers.

Qualifications

• High school diploma or GED (or equivalent) required; bachelor’s degree preferred.
• Must function autonomously with flexibility in a team setting.
• Strong time management and communication skills required.
• Proficiency in word processing and software programs.

Responsibilities

• Verify patient insurance coverage and benefits; request authorizations as needed.
• Analyze, correct and resolve at least 45 claims daily.
• Work toward reducing accounts receivable to 90 days.
• Correct and resubmit denied claims within 48 hours.
• Submit hospice Notice of Election to Medicare and Medi-Cal payers.
• Monitor daily insurance claim billing process and AR to minimize delinquencies.
• Stay current with Medicare, Medi-Cal and private insurance billing regulations.

Skills

Time management

Communication skills

Autonomy

Team collaboration

Education

High School Diploma/GED

Bachelor’s degree in related field (preferred)

Tools

Word processing

General software programs

Job description

Hinds LifeCare seeks a Medi-cal Billing Specialist to join its Fresno-based team. You will ensure proper documentation, verify patient insurance, and obtain necessary authorizations.

You will analyze and resolve claims daily and work to keep AR at 90 days. Responsibilities include submitting notices to Medicare/Medi-Cal, monitoring daily billing, and staying current with billing regulations affecting Medicare and private insurers.