Medical Biller with Visa Sponsorship

About the Company

Kaiser Permanente is one of America’s largest integrated healthcare organizations, providing high-quality, affordable health care services to millions of members across the nation. Dedicated to health and wellness, we combine comprehensive health coverage with clinical excellence, supported by a workforce committed to community well-being and innovation in care delivery.

Job Description

We are actively seeking a dedicated and experienced Medical Biller to join our esteemed finance team at our San Francisco medical center. This unique opportunity includes visa sponsorship, making it ideal for international professionals eager to contribute their expertise within a leading U.S. healthcare system. The successful candidate will be pivotal in managing the full spectrum of our billing processes, ensuring precision and timeliness in claims submission, and optimizing revenue streams. We are looking for an individual with a profound understanding of medical coding, insurance protocols, and regulatory compliance. This role demands exceptional attention to detail, superior organizational capabilities, and an unwavering commitment to patient data confidentiality.

Key Responsibilities

• Prepare and submit accurate and timely claims to various insurance providers, both electronically and manually.
• Proactively follow up on outstanding claims within established billing cycles, thoroughly investigating and resolving all denials and rejections.
• Initiate and manage the appeal process for denied claims, ensuring proper documentation and adherence to guidelines.
• Process patient payments, manage accounts receivable, and reconcile billing discrepancies.
• Verify patient insurance coverage and eligibility prior to service delivery.
• Serve as a primary contact for patients, insurance companies, and healthcare providers to address and resolve all billing inquiries.
• Uphold the highest standards of patient information confidentiality in accordance with HIPAA and other regulations.
• Continuously monitor and adapt to changes in medical billing and coding guidelines, including ICD-10, CPT, and HCPCS.
• Generate, analyze, and interpret billing reports to identify trends, pinpoint areas for improvement, and ensure financial accuracy.
• Support month-end closing procedures relevant to billing operations and financial reporting.

Required Skills

• Minimum of 2 years of direct experience in medical billing or a closely related healthcare administrative role.
• Demonstrable proficiency with medical billing software and electronic health records (EHR) systems.
• In-depth knowledge of medical terminology, CPT, ICD-10, and HCPCS coding practices.
• Solid understanding of healthcare compliance regulations, including HIPAA.
• Exceptional analytical and problem-solving abilities, with a keen eye for detail.
• Superior communication and interpersonal skills, capable of professional interaction with diverse stakeholders.
• Proven ability to manage multiple priorities effectively in a dynamic, high-volume healthcare environment.
• Strong organizational skills with a track record of meeting deadlines consistently.

Preferred Qualifications

• Associate's or Bachelor's degree in Healthcare Administration, Finance, or a related field.
• Professional certification in Medical Billing and Coding (e.g., CPC, CEMC, CCS).
• Familiarity with Kaiser Permanente's specific billing systems or experience within a large, integrated healthcare system.
• Previous experience working with diverse patient populations or in roles involving visa sponsorship processes.

Perks & Benefits

• Comprehensive health, dental, and vision insurance plans for employees and their families.
• Generous paid time off (PTO) and company-observed holidays.
• Robust retirement savings plans with employer matching contributions.
• Extensive professional development and continuing education opportunities to foster career growth.
• Employee wellness programs designed to support physical and mental health.
• Life and disability insurance coverage.
• Dedicated visa sponsorship support for eligible international candidates.

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