Claims Processing & Medical Billing (Onsite)

To perform billing functions for the various clinical components of the Clinic, serve as an expert for other claims processors in the department, and serve as back up for the Billing Manager to run various financial reports as needed by the CFO.

Classification: Full-Time, Non-exempt, $24.20-$25.30 per hour

Essential Functions:

• Ensure efficiency, accuracy and accountability of information and data.
• Perform claims processing functions in a timely and accurate manner.
• Checking “superbills” for accuracy prior to entering into the system.
• Review and, as necessary correct data entry and billing errors prior to transmission.
• Bill payment source(s) within 48 hours of patient’s visit.
• Post payment checks to appropriate account.
• Research payment denials and re-submit for payment as necessary.
• Check count of “superbills” against daily log to ensure that every patient’s visit related paperwork has been received, posted and billed.
• Prepare month end reports.
• Look up CPT and ICD-10 codes for accurate coding.
• Perform weekly transmission of claims.
• Update daily error reports for clinic/nurse managers.

Regulatory Compliance:

• Ensure compliance with regulatory agencies, contractual obligations and funding sources.
• Perform functions, duties and/or services in compliance with regulatory agencies, contractual obligations, funding sources and any and all laws governing area of expertise.
• Maintain records/documents in accordance with policies and procedures, regulations, contractual obligations and funding sources
• Working Conditions Normal office environment with:
• Typing and sitting for long periods of time working extensively with computers
• Occasional walking, reaching with hands and arms, stooping and kneeling
• Ability to organize and schedule work effectively.
• Ability to communicate effectively and tactfully with staff, managers and other
• levels of personnel, in person and on the telephone.
• Protects patients' rights by maintaining confidentiality of personal and financial information.
• Contributes to team effort by accomplishing related results as needed.

Position Requirements:

• Medical Billing Certification and two (2) years experience as a Biller or Collector.
• Extensive knowledge of medical terminology, billing procedures, CPT and ICD-10 codes.
• Medicaid/Medi-Cal, CHDP, Managed Care and other medical, dental, health insurances reimbursement procedures preferred.
• Ability to accurately utilize personal computer. Proficiency with Microsoft Office.
• Demonstrates proficiency in written and spoken English required.
• Handle patient information with utmost respect and confidentiality.
• Ability to work as part of a team and independently.
• Must demonstrate excellent telephone and customer relations skills.
• Ability to always demonstrate the highest level of performance and behavior standards.
• Willingness to commit to the philosophy of and goals of Celebrating Life Community Health Center.

Schedule:

• Monday–Friday, 7:30 AM–4:00 PM
• Job Type: Full-time

Benefits:

• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Vision insurance
• Work Location: In person

Pay: $24.20 - $25.30 per hour

Benefits:

• 401(k) matching
• Dental insurance
• Employee assistance program
• Health insurance
• Vision insurance

Work Location: In person