Job Title

Medical & Regional Center Billing Specialist for a Speech and Language Pathology CenterLocation: Mission Hills, CAEmployment Type: Full-TimeCompensation: Non-exempt, $26 to $30 per hour (DOE)About the PositionWe are seeking a highly skilled and detail-oriented Medical & Regional Center Billing Specialist to join our team in Mission Hills. This dual-focused role requires expertise in both traditional medical billing and specialized Regional Center billing processes. The ideal candidate will possess a comprehensive understanding of insurance claims management, billing procedures, and the unique requirements of Regional Center service billing.Key ResponsibilitiesMedical BillingProcess and submit clean claims to private insurance companiesVerify patient insurance eligibility and benefits prior to service deliveryFollow up on unpaid, denied, or partially paid claims to ensure maximum reimbursementPost payments and adjustments accurately in billing systemsGenerate patient statements and manage the accounts receivable aging processRegional Center BillingProcess and submit claims to California Regional Centers following their specific billing guidelines and requirementsUnderstand and maintain compliance with Department of Developmental Services (DDS) regulationsTrack authorization units and ensure services billed match authorized servicesReconcile Regional Center remittance advices and resolve discrepanciesMaintain accurate documentation for audit purposesGeneral DutiesEnsure compliance with federal, state, and insurance regulations, including HIPAAResolve billing discrepancies and respond to patient/client inquiries regarding billingGenerate and analyze financial reports for both medical and Regional Center billingStay updated on changes in billing regulations, coding requirements, and fee schedulesCollaborate with clinical staff to ensure accurate documentation for billing purposesRequired Experience & SkillsMinimum 2 years of experience in medical billing, with at least 1 year handling Regional Center billing (preferred) Demonstrated proficiency with medical billing software and electronic health record (EHR) systemsThorough knowledge of CPT, ICD-10 coding, and medical terminologyUnderstanding of Regional Center service codes and billing procedures Experience with insurance verification, claim submission, and denial managementStrong analytical skills and attention to detailExcellent communication abilities for patient/client interactions and interdepartmental collaborationAbility to work independently and manage multiple priorities effectivelyPreferred QualificationsCertified Professional Biller (CPB) or similar certification, or 4 plus years of experienceExperience with specific Regional Centers in Southern CaliforniaKnowledge of Service Coordinator interactions and authorization processesFamiliarity with audit preparation for both medical and Regional Center billingSpanish language proficiency a plusWe are an Equal Opportunity Employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, or any other characteristic protected by applicable law.