Billing Specialist Clinicas del Camino Real, Inc.

• 3.3 Ventura, CA Job Details Full-time $22.00
• $28.

28 an hour 4 hours ago Benefits Health insurance Dental insurance 401(k) Paid time off Vision insurance Employee discount Life insurance Retirement plan Qualifications Computer operation Spanish Customer communication Microsoft Excel Medical billing and coding data entry Medicare Customer service Word processing Writing skills Copy machines Filing English Microsoft Office High school diploma or GED Records management Relationship management Typing Medical terminology Quality data entry Full Job Description This position will work under the supervision of the Billing Manager. The Billing Specialist will be responsible for the completion of all tasks to ensure accurate, compliant and timely billing of patient charges for appropriate reimbursement from all sources, such as patients and all other third party payers. Billing Specialists will interact with a multi-cultural population of diverse socioeconomic backgrounds, ages, and level of education.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

The Billing Specialist is responsible for performing the following duties:

• Reviews charges, payments and adjustments to ensure accuracy and compliance with billing, coding and any contractual requirements
• Generates paper or electronic claims and submits them to all third party payers such as Medi-cal Medicare, private insurances and other programs
• Generates patient statements and collection letters
• Enters payments received from payers and patients in the practice management system
• Reviews claim rejection queue and resolves for resubmission
• Follows up on denied and unpaid claims; works closely with payers to provide any information necessary to receive payment
• Reviews and collects on overdue patient balances
• Answers questions from patients, staff and payers
• Reviews and processes requests for adjustments, corrections or refunds
• Prepares billing reports
• Collaborates and communicates with other team members to ensure efficiency of processes
• Maintains billing records
• Performs other duties as assigned including participation in all safety programs which may include assignment to an emergency response team.

EDUCATION, EXPERIENCE AND QUALIFICATIONS

• Must possess a high school diploma or equivalent. A certification or some college work in medical terminology, billing and coding, business or accounting, and business communications is desirable.
• Must have knowledge of Current Procedural Terminology (CPT) and International Classification for Diseases (ICD) codes; Medi-cal , Medicare and insurance billing knowledge or experience; insurance claim forms: paper or electronic.
• Minimum of six (6) months of billing and customer service experience required.
• Ability to operate a computer and basic office equipment (calculator, copy machine). Must be proficient in Microsoft Work/Excel.
• Ability to communicate professionally in writing and orally and must be able to read and understand oral and written instructions.
• Data entry and clerical skills (typing, filing) accurate spelling and grammar is necessary.
• Must possess excellent customer service skills and maintain effective working relationship with patients; peers, managers and payers.
• Bilingual English/Spanish is preferred.
• Capable to analyze and solve problems with minimal supervision.

DESCRIPTION OF LEVELS I, II, III, IV AND SENIOR

Levels are determined by the individual's job experience and performance; level, scope and complexity of duties assigned and overall knowledge to the extent that the individual works with minimal supervision.

Job Type:

Full-time Pay:

$22.00

• $28.

28 per hour

Benefits:

401(k) Dental insurance Employee discount Health insurance Life insurance Paid time off Retirement plan Vision insurance

Work Location:

In person