WE ARE TITANIUM HEALTHCARE
Titanium is a healthcare company that puts heart and compassion above all else. Millions of Americans just aren’t getting the medical care they need. We’re on a mission to change that. For patients that means exceptional support and better care. For providers it means better support and time to focus on patients, and for partners that means higher quality and lower cost.
Join us in our mission!
POSITION SUMMARY
Titanium Healthcare is seeking a motivated Medial Billing & Denial Specialist to join our growing and dynamic team. This individual will be responsible for the posting, evaluation, billing of claims, and outstanding account receivable within the EHR (electronic health records) system. This includes evaluating EHR data integrity as it relates to account receivable, performing data entry, reporting, and billing tasks. In addition, the ideal candidate will be responsible for ensuring that information is processed accurately, payments are posted, and denials are resubmitted in a timely fashion. This individual will work in collaboration with the revenue cycle, finance, and data teams.
WHERE YOU’LL WORK
This position is hybrid. You will work onsite in our Garden Grove office at least three days per week. Standard business hours are Monday through Friday from 8:30 am to 5:00 pm.
WHAT YOU’LL DO
- Identify, notify, and work with internal team members on denial patterns and issues
- Collaborate with the direct manager and other team members to resolve issues timely
- Evaluate patient accounts and take charge of insurance outstanding payments
- Manage, track, and resolve complex denied and voided claims including follow ups until the claim is paid
- Achieve maximum reimbursement for services provided
- Prepare and submit billing data and medical claims to insurance companies, including 837 and 1500 claims
- Be proactive, creative, and flexible in determining, evaluating, researching, and resolving issues
- Organize and prioritize multiple activities to meet all external and internal deadlines
- Post payments accurately and timely to accounts
- Collaborate with the revenue cycle manager and operational leadership on frequent issues to consult and advise on how to correct errors moving forward
- Develop and maintain claim resolution skills through continuous trainings, workshops, and education in collaboration with the revenue cycle manager
- Check eligibility on a bi-monthly basis for clients, compile list of clients with terminated Medi-Cal as needed, and provide reports to Management and the Operation teams
- Prioritize tasks and create a tracking system of claims and health plans
- Respond to all requests and communicate in a timely manner (typically less than 24-48 hours)
- Assist in the creation and review of billing procedures to ensure the company maintains compliance with local, state and federal regulations
- Perform other duties and projects assigned
WHO YOU ARE
- Fluent in English (written and verbal)
- Must have basic medical billing software knowledge and the ability to become proficient
- Familiarity with Medi-Cal, Medicare, commercial, and patient statement billing
- Proficient with Microsoft Outlook and associated products
- Ability to be accurate, precise, thorough, and detail-oriented
- Must have initiative, and relies on experience and sound judgement in making decisions in varied situation to accomplish goals
- Familiar with the utilization of an EHR (electronic health record) system
- Ability to multi-task, prioritize, and see projects through to completion
- Able to work independently and is self-directed
- Excellent organizational capabilities and attention to detail
- Experience with primary care and Medi-Cal billing
WHAT YOU’LL NEED
- Minimum high school diploma required
- 3 years of experience in clinical AR, practice management, and/or medical administration experience required
- An equivalent combination of education and experience that provides the skills, knowledge, and ability to perform the essential job duties, and which meets any required state or federal certification requirements
NICE TO HAVES
- Bilingual in Spanish
- Associate or bachelor's degree in healthcare administration, business administration, or related medical field
- Experience with eClinicalWorks
WHAT YOU’LL ENJOY
- Make an impact: an organization who cares about its employees, communities, and the future of healthcare
- Inclusivity: be a part of a workplace where you not only belong but also can be the best version of yourself
- Growth: opportunities to develop and grow your career with us
- Community: you are encouraged to have a voice, share your opinions, and have an individual impact on the business
- Paid Time Off: 12 holidays and up to 15 days of accrued PTO to rest and recharge plus additional time for sick, jury duty, bereavement, reproductive loss, and therapy
- Work Life Balance: enjoy flexibility to maximize your well-being and success with our hybrid work model
- Medical, Dental, & Vision Benefits: we cover up to 100% of your premium and 50% of your dependents depending on the plan
- Prioritize your mental health with unlimited therapy sessions funded 100% by Titanium Healthcare
- Flexible Spending, Health Savings & Dependent Care Accounts
- Life/AD&D insurance funded 100% by Titanium Healthcare
- Supplemental Short-Term Disability
- Employee Assistance Programs
- Protect your pet(s) with Pet Insurance
- 401(k) plan
EEO Statement
At Titanium Healthcare, our mission is to fearlessly reengineer the way healthcare works to reduce costs, ensure better outcomes, and provide everyone, everywhere, with the kind of compassionate and coordinated care they deserve. We believe that achieving this mission starts with a diverse and inclusive workforce.
Titanium Healthcare is an equal opportunity employer. We are committed to promoting and celebrating all backgrounds and encourage all applicants, regardless of race, religion, gender, sexual orientation, disability, age, marital status, parental status, military or veteran status, or any other legally protected status, to apply. We believe that diversity and inclusion drive innovation and equity in healthcare, enabling us to better serve our communities and make a lasting impact.
