Find & Apply For Billing Clerk / Specialist Jobs in Newport Beach, California

Share Ourselves is a healthcare organization that provides comprehensive health and support services for the Orange County community. At the heart of our mission is the unwavering belief that everyone, regardless of their circumstances, deserves access to quality healthcare. From serving as a comprehensive healthcare provider, to offering social services like care management, financial assistance and food distribution, our approach considers all that it means to be healthy. We know when we uplift and prioritize the health of every individual, we become stronger as a community. We currently operate multiple healthcare sites in Costa Mesa, Santa Ana, Mission Viejo and Newport Beach We are looking for a Bilingual Revenue Cycle Specialist to join our Revenue Cycle team! This position is an onsite position in our Newport Beach Office. Our Salary range is $25.00 - $27.50 Depending on Experience/Certifications. Top reasons to join the Share Ourselves team: We are mission minded with strong values We have been serving the orange county community for over 55 years We are a growing organization with growth opportunity We offer competitive salary and benefits

JOB SUMMARY

The Revenue Cycle Specialist is the liaison and subject matter expert (SME) on proper billing practices and will work alongside the Sr Revenue Cycle Manager (RCM) to ensure billing audit tools are in place across the organization and help to streamline billing processes. This position will also be the lead for the No Surprise Act Project as directed the RCM. This position will be a liaison to the clinic team in patient billing errors/denials, supports ongoing process improvement analysis with the RCM; and documentation of billing system P&P and training. This position includes activities within the scope of the billing department/outsourced company including coding, charge/data entry, insurance follow-up, and customer service/support on patient balances. The Revenue Cycle Specialist plays a pivotal role in working with the RCM to maximize revenue collection efficiency. The Revenue Cycle Specialist works in a team based model of care.

JOB RESPONSIBILITIES

Contributes to the collaboration of health professionals and members of the health care teams in order to support the patient to attain health goals. Responsible for No Surprises Act project by managing Good Faith Estimates work and generating estimates daily & ensuring they are mailed out timely. Be a subject matter expert (SME) on discussions on proper billing practices including Medi-Cal, Medicare, managed care, and commercial insurances and work alongside RCM, contracting/credentialing department with any roadblocks Works alongside RCM to create and implement a billing audit tool that includes routinely auditing provider documentation and ensuring proper coding capture. Performs fee schedule reviews at least yearly with the RCM and works closely with site specialist on maintaining provider master file and fee schedule changes. Ability to work alongside clinical and revenue analyst to look at practice management system rules, make logic suggestions and perform testing to streamline billing processes Prepare quarterly Medicare Credit Balance Reports and work with consultants for yearly cost reporting for RCM and accounting leadership. Participate billing data collection in federal audits as appropriate and necessary Acts as liaison to clinic in assisting with patient insurance eligibility questions or concerns Works closely with the clinics' front office, MA, nursing and provider team members to proactively resolve and prevent patient account errors/denials. Assists RCM in addressing issues, questions, and problems raised by billing vendor partner, and other team members in the Share Ourselves Patient Services Dept regarding patient bills Return patient phone calls regarding account balances and/or other matters, providing courteous and compassionate customer service Actively work on claim edit and eligibility work queues to resolve errors and reports patterns to RCM Document and maintain revenue cycle policies and standard workflows for department and create training materials to support P & P workflow. Works with RCM on creating specific workflows and presents trainings around insurance eligibility and registration accuracy via virtual platform or in person. Assist RCM in driving internal billing process optimizations Reviews billing reports to ensure proper billing procedures are followed based on federal and state rules and regulations and report any trends/issues to RCM. Attends meetings and training related to billing procedures as appropriate. Interacts closely with Accounting Department to contribute to cash reconciliation activities as needed Performs other specific projects related to billing including denial deep dives, data entry, and computer operations as needed. Other duties as assigned Maintain confidentiality of patient information, organization data and information always in compliance with HIPAA regulations

QUALIFICATIONS

Strong working knowledge of Medi-Cal including wraparound, managed care, Medicare and private insurance billing and reimbursement processes including sliding scale discount and self-pay Ability to demonstrate a strong analytical and quantitative skills to use data to back up assumptions, recommendations, and drive actions. Knowledge of KPIs that drive billing success. Ability to work independently and be resourceful with the ability to multi-task Excellent communication skills, both verbal and written Bilingual - English/Spanish both written and verbal communication Sensitivity to the needs and situations of a multi-cultural population from a variety of income levels Experienced in Microsoft Office applications including Excel, Outlook, Teams, Power Point and Word Working knowledge/understanding of CPT procedure and ICD-10 coding required.

EDUCATION AND/OR EXPERIENCE

Associates Degree preferred 3-5 years of in-depth experience in active revenue cycle or relevant professional medical billing Community Health or

FQHC/RHC

experience preferred with Medical, Dental and Behavioral Health focus Experience using Electronic Health Records System required; Epic and Wisdom practice management systems, strongly preferred CRCS or CPC Certification desired

COMPENSATION & BENEFITS

What do we offer? A competitive salary and a generous benefits package for our full time team members which includes Health Insurance options covered at 100% or 90% of cost for team members and 50% for eligible dependents; We have group Medical, Dental and Vision, Flexible Spending Accounts, Basic Life insurance/AD &D, Voluntary Life Options, Long Term Disability, 403b Retirement Plan with employer match, Employee Assistance Program, Supplemental Accident, Critical Illness and Hospitalization plans offered offered, Tuition Reimbursement, Paid Holidays, Paid Vacation and Sick Days. The starting pay range is based on meeting the minimum job requirements. Pay rate offered will be based on candidates experience, education and skill set. All qualified candidates will be subject to an employment/criminal background check and must be able to provide proof of required Immunizations for healthcare facility. We will provide vaccines to new employee's if needed at no cost. Job Req #202608

RCS Job Type:

Full-time Pay:

$25.00 - $27.50 per hour Expected hours: 40.0 per week

Benefits:

401(k) 401(k) matching Dental insurance Employee assistance program Flexible spending account Health insurance Life insurance Paid time off Retirement plan Tuition reimbursement Vision insurance

Experience:

Community Health or FQHC:

1 year (Preferred) EHR systems: 1 year (Preferred) Revenue cycle or medical billing: 3 years (Preferred)

Language:

Spanish (Required)

License/Certification:

CRCS or CPC (Preferred)

Work Location:

In person