Skilled Wound Care
Lead Medical Biller
Los Angeles, CA
Sponsorship not specifiedDetected 9 days ago
ExcelCommunicationMentoringMicrosoft Office
About the role
- This role requires advanced expertise in the end-to-end claims lifecycle, ensuring maximum revenue capture through accurate, compliant, and timely submission of medical claims across all payer types (private, government, and third-party).
- You will be the primary subject matter expert, driving team performance, resolving complex billing issues, and upholding strict adherence to all federal, state, and FQHC-specific billing regulations.
- To learn more information contact us today at (310) 445-5999!
Responsibilities
- Supervise & Train: Lead the training and mentorship of new billing hires, ensuring rapid integration and consistent adherence to best practices.
- 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.
- 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.
- Partner with management to efficiently re-distribute workloads, optimize team capacity, and maintain productivity.
- Proactively identify, report, and collaborate on solutions for problematic issues impacting team duties, efficiency, or compliance.
- Skilled Wound Care will ask all candidates to perform pre-employment confidential DiSC testing and appropriate relevant skills testing prior to hiring.
Requirements
- Knowledge of Microsoft Office, especially Excel
- High School diploma or equivalent is required.
- Apply comprehensive working knowledge of governmental billing regulations, including Medicaid, Medicare, and Medi-Cal Managed Care.
- Good verbal and written communication
- 2+ years of Lead Medical Biller experience required
- Medical billing diploma or work experience Lytec or Medisoft experience a plus
- Certification as a Certified Professional Coder (CPC) preffered
Compensation
- Compensation is DOE.
Benefits
- Health, Dental, Vision Insurance
- Life Insurance
- Skilled Wound Care is looking for a Lead Medical Biller to join our rapidly growing company!
- T he Lead Medical Biller is a critical leader responsible for ensuring the financial health of our organization by overseeing the daily operations of the billing team.
- Documentation & Verification: Verify all billing information, charges, patient documentation, and insurance coverage prior to claim submission.
- 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.
Company info
- We are a mobile surgical physician wound care group expanding into new markets of the United States.
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This listing is sourced directly from Skilled Wound Care's careers page and normalized into a canonical job model.