Billing Clerk Specialist

Billing Clerk Specialist Ultimate Staffing Services - 3.8 San Diego, CA Job Details Full-time $21 - $29 an hour 12 hours ago Qualifications Anatomy knowledge ICD-10 Driver's License Medical terminology

Full Job Description Billing Clerk Specialist Pay Rate:

$21.00-$29.00/hour

DOE Schedule:

Monday-Friday, 8:00 AM - 4:30

PM Location:

Alpine, CA Responsibilities Review and validate charge batches, including pre-coding, within the PM/EHR system. Ensure all provider-generated charges are accurately received and accounted for. Verify patient eligibility, authorizations, and insurance details within the PM system. Confirm complete documentation for new patients and specialty programs (Grants, PRC, Direct), including demographics, insurance, and claim information. Apply

CPT, ICD-10

codes, and modifiers accurately for all billable services. Process claims daily, resolving edits and addressing rejections through the clearinghouse. Collect outstanding balances from insurance carriers and patients. Create EFT and fiscal batches; post insurance and patient payments accurately. Prepare, review, and distribute weekly patient statements. Establish and manage patient payment plans. Monitor unpaid claims and follow up to ensure timely resolution. Submit additional documentation to support reimbursement when required. Organize and maintain documentation for claims follow-up. Analyze EOB and ERA remittance codes to identify denials and zero payments. Follow up with payers regarding claim status and routing issues. Communicate payer concerns, trends, and issues to the Billing and Coding Supervisor to support timely resolution and reimbursement. Document all account follow-up activities thoroughly. Maintain flexibility in scheduling based on operational needs. Other duties as assigned. Candidate Profile Certificate from a medical institution or Associate degree (AA/AS) required. Minimum of two (2) years of experience in medical, dental, pharmacy, or behavioral health preferred. Prior billing and collections experience strongly preferred. Knowledge of medical terminology, anatomy and physiology, and coding systems including CPT, HCPCS, and ICD-10 required. Experience with

IHS/FQHC

settings preferred. Familiarity with NextGen Healthcare EHR/EMR systems is a plus. Valid California driver's license required at time of application and must be maintained throughout employment. Must be insurable under SIHC vehicle insurance policy. Relevant certifications and/or licenses appropriate to the role required.

Additional Requirements Background Check:

7-year background screening Drug Screen All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the California Fair Chance Act, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, and Los Angeles County Fair Chance Ordinance.