About Us
Modena Health (“MH”) and Modena Allergy & Asthma ("MAA") are leading and rapidly growing medical practices specializing in allergy, asthma, and immunology care, with clinics across Southern California and Arizona—and ambitious plans for national expansion. We are physician-led, hospitality-focused, and technology-enabled, committed to transforming allergy care while advancing clinical research and expanding access to cutting-edge medicine.
Known for our high standard of excellence, we provide compassionate, patient-centered care for both pediatric and adult patients. Our model combines hospitality-driven service with innovative technology solutions that streamline operations, improve clinical outcomes, and enhance the experience for both patients and providers.
At Modena, we aim to hire great people, treat them well, and help them find meaning and purpose in our mission. Our dedicated team values collaboration, positivity, and growth while striving to improve lives through expert diagnosis, treatment, and research. We are looking for high-energy, kind, and collaborative individuals eager to grow personally and professionally while making a meaningful impact in the lives of others.
We are currently hiring an Insurance Collector/Medical Biller to join our growing billing team and support the increasing demand for our services. This role offers strong opportunities for personal, professional, and financial growth.
As an Insurance Collector/Medical Biller, you will be responsible for reviewing clinical documentation and assigning accurate medical codes to ensure proper billing and reimbursement. In addition to processing claims and invoices, you will work closely with healthcare providers, insurance companies, and patients to verify coding accuracy, resolve billing-related issues, and support compliance with industry standards.
Position Summary
The Insurance Collector/Medical Billing Specialist is responsible for managing insurance accounts receivable for a busy Allergy & Asthma practice. This role focuses on timely follow-up of unpaid, denied, and underpaid claims to ensure maximum reimbursement while maintaining compliance with payer regulations and healthcare standards. The ideal candidate has experience with specialty physician billing, insurance collections, and denial management.
Essential Duties and Responsibilities
Follow up on outstanding insurance claims with commercial payers, Medicare, Medicaid, and managed care organizations.
Investigate and resolve denied, rejected, and underpaid claims related to allergy and asthma services.
Submit claim corrections, reconsiderations, and appeals with appropriate documentation.
Review Explanation of Benefits (EOBs), Electronic Remittance Advice (ERA), and payer correspondence.
Monitor aging reports and prioritize accounts for collection activities.
Verify patient eligibility, benefits, referrals, and authorization requirements.
Ensure accurate reimbursement for allergy testing, immunotherapy injections, pulmonary function testing, biologic medications, and other specialty services.
Collaborate with providers, clinical staff, and front-office personnel to resolve billing discrepancies.
Document all collection efforts and account activity in the practice management system.
Maintain compliance with HIPAA, payer guidelines, and company policies.
Assist with identifying billing trends, recurring denials, and process improvement opportunities.
Meet established productivity and collection goals.
Qualifications
High school diploma or equivalent required; Associate's degree preferred.
Minimum 2 years of medical billing and insurance collections experience, preferably in an Allergy & Asthma, Pulmonary, ENT, or specialty physician practice.
Knowledge of medical terminology, CPT, ICD-10-CM, and HCPCS coding.
Experience with insurance follow-up, denial management, and appeals.
Familiarity with Medicare, Medicaid, commercial insurance plans, and prior authorization processes.
Proficiency…