Medical Billing Specialist

Welcome to Pine Park Health!

About us

Pine Park Health is a value-based primary care practice that’s reshaping how residents of senior living communities experience healthcare. We provide high-quality prevention and screening, care for chronic conditions, lab work, and diagnostic testing to patients in their homes and closely partner with community staff to improve resident health and wellness. We also provide in-person and virtual Rapid Care for common concerns — like falls, wounds, or changes in behavior — to help patients avoid trips to the ER where they’re exposed to further health issues. 

Over 80 communities across the Bay Area, San Diego, and Phoenix work with Pine Park today and we’re growing rapidly to expand our reach and impact. Investors include First Round Capital, Google’s AI fund, Canvas Ventures, Foundation Capital, Y Combinator, and Susa. If you’re interested in changing healthcare for seniors, join us!

The Opportunity

The Remote Medical Billing Specialist  is  a customer-centric team member that can assist our patients in understanding their medical bills and coverage.  .. As we build this function, you are comfortable with ambiguity, special projects, and being held to high-performance standards. You approach mistakes as learning and are driven by curiosity to find the root of a problem. You understand that manual workflows proceed with automation and are willing to perform high-volume repeat tasks at industry-standard accuracy. You bring professionalism to your partnerships with your direct team, clinicians, executive leaders, and more. 

In this small team, you have a range of tasks.  You provide great customer service to our patients, manage revenue receipts, answer questions about eligibility and coverage and do some claims work. You take ownership of your tasks and are willing to go the extra mile to help out a team member, working occasional overtime or experimenting with your team on a new process. 

What You'll Do

• Patient billing (phone calls, statements, and escalations)
• Eligibility and network verifications
• Managing inbound medical record requests
• Responding to third-party vendor requests for carrier and coding details
• Answer billing questions from stakeholders across the org
• Claims management (rebills)
• Process patient payments
• Work paper correspondence
• Work closely with our credentialing and other billing experts 
• Special projects related to medical billing

What We're Looking For

• Familiar with billing and coding best practices
• EMR and PMS system experience
• Payment handling and posting experience
• Customer service (patient calls and account management)
• Familiarity with provider portals for both claim status and patient eligibility verification
• Medicare billing
• Ability to read an EOB/ERA and translate patient out of pocket expenses with confidence
• Detail-oriented and strong ability to move between tasks while maintaining high accuracy and customer satisfaction

Why You’ll Love Us

• We’re a smart, heart-centered, low-ego group motivated to make waves in the lives of seniors and the healthcare industry. 
• We’re solving complex, vital problems that affect real people and need bright, focused, driven minds like yours to help us achieve our goals. 
• We empower team members to act like owners and have designed a learning-focused environment where you get ongoing support and regular feedback to help you grow.  
• Our hybrid work environment allows you to set your own in-office and remote schedule. We love being in an office to connect with coworkers and form meaningful relationships and make it easy for you to work from home when needed or preferred.
• We host social events to celebrate wins, mark team member milestones and let go by having fun.

Benefits Designed for You and Yours

• Medical, vision, and dental insurance
• FSA and Dependent Care FSA
• 401K retirement plan
• 10 paid holidays
• 15 days paid time off
• Paid sick days
• Paid parental leave
• Mileage and cell phone reimbursement
• Monthly wellness allowance
• Professional/personal development annual allowance

It’s required that all employees receive the COVID-19 and flu vaccines before their first day of work.

Pine Park Health is an equal opportunity employer — we aim to recruit, hire, develop, compensate, and promote regardless of race, religion, country of origin, gender, sexual orientation, age, marital status, veteran status, or disability.