Medical Billing Manager

About us:

Clear Behavioral Health (formerly Clear Recovery Center) is a mental health and substance abuse treatment program with online and in-person locations across Los Angeles, CA. We specialize in helping teens and adults suffering from mood and anxiety disorders, substance use and addiction, self-harm, attachment and burnout. Our treatment teams of subject matter experts deliver holistic, individualized, and multimodal mental health treatment through an engaging and therapeutic environment using state of the art, evidence-based clinical care. Our continuum of care includes outpatient, intensive outpatient, partial hospitalization/day treatment, residential treatment, and inpatient detox.

About the Role:

As the Medical Billing Manager at Clear Behavioral Health, you will oversee the entire billing process, including claim submission, tracking denials, and billing reports. You will also manage the medical records department and ensure accurate documentation of patient information. The ideal candidate will be a strong leader with exceptional organizational skills and the ability to work with various billing platforms, including Kipu and Collab.

The Medical Billing Manager is responsible for overseeing the submission of insurance claims for multiple healthcare organizations. This position works closely with the billing team to ensure that all claims are accurate and submitted in a timely manner. The Medical Billing Manager will also manage and oversee the billing processes, including collections, appeals, and claim follow-ups, while ensuring that day-to-day billing and operational tasks run smoothly.

Key Responsibilities:

• Oversee the submission of claims for multiple providers using Electronic Health Record (EHR) software.
• Review and post Explanation of Benefits (EOBs).
• Evaluate EOBs, identify discrepancies, and submit appeals as necessary.
• Approve timecards for team members, ensuring accuracy in hours worked and compliance with company policies.
• Generate and analyze weekly billing reports to ensure billing accuracy and timely submission.
• Oversee and coordinate the medical records department, ensuring that patient files are accurate, complete, and properly managed.
• Track and monitor claim denials, identify trends, and work to resolve issues to minimize rejections.
• Investigate and address any discrepancies related to insurance claims and payments.
• Oversee the negotiation and execution of single case agreements, ensuring payments are processed at the agreed-upon rate.
• Open and maintain accounts specifically for negotiation purposes.
• Manage the Square account, identifying and resolving any payment errors or discrepancies.
• Prepare and reconcile end-of-month reports, ensuring accuracy between insurance and patient accounts.
• Use Kipu and Collab platforms to manage billing, claims submission, and medical records.
• Attend and actively participate in staff meetings and training sessions.
• Perform data entry for insurance records and medical billing.
• Maintain accurate and organized files for each insurance company.
• Track and update client files regarding insurance claims and payments.
• Ensure all medical billing operations are conducted with accuracy and efficiency.
• Take on additional duties as assigned by your supervisor.

Minimum Qualifications:

• High school diploma required. Billing/coding degree/certification preferred.
• A minimum of five years of experience billing with commercial health insurance payers.
• A minimum of two years experience as a billing/collections supervisor with a proven track record of leading your team.
• Strong organizational skills with the ability to prioritize tasks and make independent decisions.
• Experience working in behavioral health as a medical biller.
• Attention to detail and accuracy in preparing and entering claims in a high-volume environment.
• Ability to read and understand medical documentation and insurance policies.
• Experience with Kipu and Collab platforms is highly preferred.
• Demonstrated time management skills and the ability to meet deadlines.
• Effective communication and teamwork skills, with a focus on building and maintaining positive working relationships with colleagues and clients.

Job Type: Full-time

Diversity, Equity, and Inclusion Statement:

Clear Behavioral Health is committed to building a workplace that values and respects each individual. Our dedication to diversity, equity, and inclusion drives us to foster an environment where all backgrounds, perspectives, and experiences are welcomed and valued. We believe that a diverse team strengthens our ability to innovate and serve our community effectively. We encourage applicants from all walks of life to apply and become part of our mission to make a positive impact.