Medical Billing Specialist Full Time - Main Campus - San Diego, CA, 92111 chevron_right

Company: Centerforchildren
Location: San Diego
Posted on: May 28, 2023

Job Description:

Job Details
Job Location: Main Campus - San Diego, CA
Position Type: Full Time
Education Level: 2 Year Degree
Salary Range: $18.00 - $22.00 Hourly
Job Shift: Day
Job Category: Administrative - Clerical

DescriptionSUMMARY
Provides billing and collections support to ensure services are billed in accordance with applicable regulations and policies and payment is collected within necessary timeframes.
ESSENTIAL DUTIES AND RESPONSIBILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• 
  
• Prepare and submit clean claims to third party payers either electronically or by paper.
  
• Maintain relationship with clearinghouse, including appropriate follow-up with support issues.
  
• Coordinate the process of patient eligibility through various third-party sources.
  
• Coordinate collection process, to include tracking current collections.
  
• Work with program staff, ensure appropriate collection of co-pays, self-pay fees, etc.
  
• Handle patient inquiries and answer questions from staff and insurance companies.
  
• Work directly with families to set up payment plans as needed.
  
• Identify and help resolve billing issues.
  
• Resolve denials of payment or assist in this process as needed.
  
• Post adjustments, transfer of responsibility and refunds, as necessary.
  
• Report on applicable billing activities.
  
• Assist and/or conduct billing audits as needed.
  
• Assist program/organization in achieving maximum reimbursement for provided services.
  
• Assist office management and clinical staff in correcting medical record data entry/billing errors as needed.
  
• Assist with implementation and monitoring of corrective actions in response to billing issues.
  
• Take appropriate measures to ensure confidentiality of client information and records.
  
• Immediately report any unsafe acts, conditions, areas of risk, or accidents in their department and or organization to immediate supervisor.
  
• Fulfill all contractual and organizational training requirements (e.g., cultural competency, Privacy/Security, False Claims Act, etc.).
  
• Perform special projects, assignments and other related duties as required or assigned.
  
  LANGUAGE SKILLS AND REASONING ABILITY
  Must have the ability to read, analyze, and interpret medical records and reports; the ability to define problems, collect data, establish facts, and draw valid conclusions; the ability to respond to common inquiries or complaints from customers, regulatory agencies, or members of the business community; and the ability to effectively present information to groups.
  MANDATORY TRAINING (on the job - ongoing)
  
  • 
    
  • False Claims
    
  • Privacy & Security
    
  • Safety (Emergency Management & Infection Prevention and Control)
    
  • Code of Conduct
    
  • Professional Boundaries
    
    PHYSICAL DEMANDS
    The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to stand, walk, sit, use hand to finger, or feel, reach with hands and arms, and talk or hear. The employee may need to lift up to 25 lbs. when necessary. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, and ability to adjust focus.
    WORK ENVIRONMENT
    The work environment is usually in an office environment with low to moderate noise level. The work environment characteristics describe here are representative of those an employee encounters while performing the essential functions of this job.
    DIVERSITY STATEMENT
    The San Diego Center for Children is committed to:
    
    • 
      
    • 
      Actively recruiting, retaining, and supporting diverse staff at all levels of the organization
      
      
    • 
      Ensuring that diverse perspectives are included in the development and implementation of policies, practices and services and that individuals feel empowered to advance our mission within an atmosphere of trust, safety, and respect
      
      
    • 
      Encourage and provide access to professional development in order to deliver equitable and culturally informed services to the population we serve.
      
      QualificationsMINIMUM REQUIREMENTS:
      --- At least one year of experience in medical (private insurance) billing and collections
      --- Associate Degree or related certification (e.g., medical billing/coding) - Bachelor's Degree highly preferred
      --- Experience working with an electronic health record system
      --- Must be 21 years of age or older
      --- Valid California Driver's License
      PREFERRED REQUIREMENTS:
      --- Bilingual (English/Spanish)
      --- Experience in Medi-Cal billing - highly preferred
      --- Certification in Medical Billing/Coding
      --- Bachelor's Degree (BA or BS) from a four-year college or university

Keywords: Centerforchildren, San Diego , Medical Billing Specialist Full Time - Main Campus - San Diego, CA, 92111 chevron_right, Accounting, Auditing , San Diego, California