Job Detail

Job Description

• Employee sign-on bonus starting at $500

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Position Summary: *
Ensures healthcare billing is properly billed for and collected, including claim submission, claim payments, claim follow up, claim denials, claim re-processing, and audits/appeals. To handle the processing of incoming payments along with the issuing of necessary paperwork. Answer inquiries and questions from members and providers; handle complaints, troubleshoot problems.
Duties and Responsibilities:

• Receiving and sorting incoming payments
• Post payments in a timely manner
• Issuing bills, receipts and invoices
• Maintenance, input, and update of the billing system to ensure accurate and timely monthly billing
• Reviews accounts receivable to maximize collections including reviewing and resubmitting previously denied claims for coverage issues, same and similar, missing/invalid submission information, and miscellaneous denials
• Ensure that charges for services provided are accurately billed to the appropriate insurance companies via electronic and paper claims submissions
• Managing the status of accounts and balances and identifying inconsistences
• Accurately reviews and resolves assigned claim and clearinghouse edits and payer rejections to minimize lag days
• Answer questions and handle complaints from clients regarding bills
• Send reminders for payments and contact clients when assigned
• Identifies over payments and creates refund requests
• Maintain fee schedules and reports
• Meets or exceeds established performance targets (productivity and quality) established by the Billing Supervisor
• Generates census reports, billing reports/spreadsheets, payment journals, monthly billing cycle closing, and account receivable reports
• Ensures all medical billing records are maintained according to HIPAA guidelines
• Other duties as assigned

Education, Experience & Licensure:

• Minimum 1 year of experience as billing specialist
• Experience in a health care environment
• Customer service principles and practices knowledge
• Strong data entry and typing skills
• Adherence to laws and best practices in regards to dealing with customers and data

Skills & Requirements:

• Accurate and reliable in handling accounts and documents.
• Excellent knowledge of MS office and ER software
• High degree of attention to detail and trustworthiness
• Strong listening and oral communication skills
• Customer service oriented: friendly and positive attitude
• Excellent organizational and administrative skills
• Attention to detail;
• Ability to multitask and to work independently within a team environment;
• Professional and reliable attitude; strong sense of initiative and motivation.
• Must be able to foster a positive and productive work environment
• Bilingual (Fluent both English and Spanish) preferred

Location: 1900 West Garvey South,#335, West Covina, CA 91790

Job Type: Full-time