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Sleep Apnea Medical Biller

Aava International

Irvine, CA

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JOB DETAILS
SKILLS
Analysis Skills, Apnea, Billing, Billing Software, Claims Management, Claims Processing, Communication Skills, Critical Care, Current Procedural Terminology (CPT), Detail Oriented, Federal Laws and Regulations, Financial Reporting, HIPAA (Health Insurance Portability and Accountability Act), Healthcare Common Procedure Coding System (HCPCS), Healthcare Reimbursement, Healthcare Software, ICD-10, Industry Standards, Insurance, Insurance Claims, Insurance Documentation, Interpersonal Skills, Maintain Compliance, Medical Billing, Medical Coding, Microsoft Office, Patient Care, Problem Solving Skills, Process Development, Quality of Life, Record Keeping, Regulatory Compliance, Reimbursement, Sales Management, Sleep Medicine, Standards of Care, State Laws and Regulations, Time Management, Training/Teaching
LOCATION
Irvine, CA
POSTED
30+ days ago
Benefits:
  • Competitive salary
  • Paid time off
  • Training & development

About ZapZzz:
ZapZzz is a specialized sleep apnea treatment program with a mission of improving patients’ overall health and quality of life by providing advanced, patient-centered solutions for sleep apnea. We are committed to excellence in care, professionalism, and compliance while ensuring patients have access to the treatment they need.


We are seeking a dedicated and detail-oriented Medical Biller with experience in sleep apnea billing. The ideal candidate will bring both technical expertise and a proactive approach to managing insurance claims, billing processes, and revenue cycle operations.


Position Summary:
The Medical Biller will be responsible for accurately preparing, submitting, and managing insurance claims related to sleep apnea treatment and oral appliance therapy. This role requires a thorough understanding of insurance verification, billing codes, compliance guidelines, and patient account management. The Medical Biller will play a critical role in ensuring timely reimbursement and supporting the financial health of the program.


Key Responsibilities:


·       Prepare, review, and submit accurate insurance claims for sleep apnea treatments and devices in compliance with industry standards and payer requirements.
·       Conduct insurance verification, confirm patient eligibility, and obtain pre-authorizations as required.
·       Review and reconcile Explanation of Benefits (EOBs); identify, investigate, and resolve claim discrepancies, rejections, and denials in a timely manner.
·       Accurately post payments, adjustments, and patient balances while maintaining detailed account records.
·       Serve as the primary point of contact for insurance companies and patients regarding billing inquiries.
·       Maintain current knowledge of ICD-10, CPT, and HCPCS coding, with an emphasis on sleep-related services.
·       Generate financial and billing reports, providing insights to support program performance and revenue cycle efficiency.
·       Ensure compliance with HIPAA and other federal and state billing regulations.
·       Collaborate closely with clinical and administrative staff to streamline billing processes and provide a seamless experience for patients.


Qualifications:


·       Minimum of 2 years of experience in medical billing, preferably with sleep medicine.
·       Strong knowledge of ICD-10, CPT, and HCPCS coding related to sleep apnea and oral appliance therapy.
·       Demonstrated experience with insurance verification, claims management, and reimbursement processes.
·       Proficiency in medical billing software, electronic claims submission, and Microsoft Office Suite.
·       Strong analytical and problem-solving skills with exceptional attention to detail.
·       Effective communication and interpersonal skills, with the ability to interact professionally with patients, insurance representatives, and team members.
·       High level of integrity, confidentiality, and commitment to compliance.


Preferred Qualifications:


·       Prior experience with dental sleep medicine billing and oral appliance therapy claims.
·       Familiarity with major insurance providers’ sleep apnea coverage requirements.
·       Certification in medical billing and coding (CPC, CPB, or equivalent) is a plus.


What We Offer:


·       Competitive compensation package (3% of Collections)
·       Supportive and professional work environment.
·       Opportunities for career development in a growing specialty field.
·       The chance to make a meaningful difference in patients’ lives by facilitating access to critical sleep apnea care.
 

About the Company

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Aava International