Full-Time
Lead Medical Biller
Skilled Wound Care
Bedside wound care for long-term care
Compensation Overview
$25 - $27/hr
Los Angeles, CA, USA
Hybrid
Hybrid position at the office in Playa Vista, California.
Bachelor's
 Medical, Clinical & Veterinary (1) |
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- At least 2 years of Lead Medical Biller experience is required.
- A medical billing diploma or equivalent work experience is required.
- Knowledge of Lytec or Medisoft is a plus.
- Knowledge of Microsoft Office, especially Excel, is required.
- A high school diploma or equivalent is required.
- Candidates must complete confidential DiSC testing and relevant skills testing before hiring.
- Oversee the daily operations of the billing team and serve as the primary subject matter expert for the end-to-end claims lifecycle.
- Lead the training and mentorship of new billing hires and ensure adherence to billing best practices.
- Conduct routine audits to ensure compliance with regulatory and internal billing standards.
- Partner with management to redistribute workloads, optimize team capacity, and maintain productivity.
- Identify, report, and collaborate on solutions for issues affecting team duties, efficiency, or compliance.
- Review, prepare, and verify claims for accuracy, completeness, documentation, and payer-specific clean submission requirements.
- Verify billing information, charges, patient documentation, and insurance coverage before claim submission.
- Follow up on outstanding claims and resolve denials by correcting errors, gathering documentation, and resubmitting claims.
- Analyze Explanation of Benefits and Electronic Remittance Advice, confirm accurate payment posting, and manage appeals for underpaid or denied services.
- Apply working knowledge of governmental billing regulations, including Medicaid, Medicare, and Medi-Cal Managed Care.
- Certification as a Certified Professional Coder is preferred.
Skilled Wound Care is a physician-led provider of wound-care services for skilled nursing and long-term-care facilities. Clinicians deliver bedside assessment and treatment while collaborating with facility teams on documentation, prevention, and follow-up. The organization also trains and supports physicians building specialized wound-care practices. The provider brings specialist physicians into post-acute facilities and integrates recurring rounds, bedside treatment, care-team communication, clinical documentation, prevention, supply decisions, and education intended to improve healing and reduce avoidable escalation.
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