Job Detail

Medical Biller - UNICARE COMMUNITY HEALTH CENTER, INC. - Ontario, CA 91762 - Medical Billing & Coding

Date Posted: Jan 10, 2022

Job Description

Job details

Job Type
Indeed's salary guide
  • Not provided by employer
  • $33.3K to $42.1K per year is Indeed's estimated salary for medical biller at Unicare Community Health Center, Inc. in Ontario, CA.

Full Job Description

Job Summary

The Biller performs complex clerical and accounting functions for patient billing, including verification of invoice information, maintenance of third-party billing records, and resolution of problems. Follows up on submitted claims and patient billing; resubmits claims or correct inaccuracies. May handle cash items and accounts receivable posting. Works with others in a team environment.



  • Works with electronic health record vendor and clearinghouse on Electronic Data Interchange (EDI) issues and system upgrades to maximize practice management system utilization.
  • Maintains regulatory compliance ensuring policies are accurate and up to date.
  • Maintains working knowledge of FQHC billing rules, CPT, ICD-9, and ICD-10 coding,
  • Collects and maintains data for Uniform Data System reports annually
  • Prepare, submit, and follow up on all insurance claims to ensure timely billing and payment of secondary insurance companies and Medicaid/Medicare.
  • Performs EOB/Denial management daily to maintain a current and up to date status on all denials. Corrects and submits claims for re-bill to insurance carriers weekly.
  • Posts payments (electronically and manually) and processes all payments to patients and insurance companies in which overpayments have occurred.
  • Performs electronic billing processing/batch submission daily and reviews all claims rejected by clearinghouse and corrects claims and resubmits the claims daily.
  • Problem solving of billing problems as they occur and early communication with COO/CAO/EVP regarding any unusual occurrences related to billing.
  • Communicates with accounting department at Unicare Community Health Center, Inc. regarding billing and posting issues.
  • Attend information seminars as necessary for compliance with billing requirements of various payers.
  • Knowledge of and compliance with Unicare Community Health Center, Inc. Policies and Procedures, especially as related to billing, accounting, and data management.
  • Answers all patient account inquiries made from patients and payers; Utilizes computer & EHR to run printouts for follow-up on claim status, claims or fee tickets to be billed and audit reports as needed; Files billing documents as directed by the departmental processes.
  • Must demonstrate strong critical thinking skills, take initiative, be self-motivated and perform thorough research in order to be able to accomplish day to day tasks.
  • Maintains strictest confidentiality, adheres to all HIPPA guidelines and regulations.
  • Must be able to adhere to the Attendance policy and procedure; must maintain a clean, professional demeanor in all situations, ability to work cohesively within a group setting.
  • Knowledge of electronic health record system and filing records used for billing.
  • Computer use for research, data entry, record keeping, and business communication via email.
  • Collaborate with EHR team on Provider/Biller Education
  • As directed by the Chief Operations Officer, performs other related and/or necessary tasks to achieve organizational and programmatic goals and objectives
  • Assist in any other duties or responsibilities as assigned.



Professional Requirements

  • Adhere to dress code, appearance is neat and
  • Maintain current license, registrations and/or certifications.
  • Maintain patient confidentiality at all
  • Report to work on time and as
  • Maintain regulatory requirements, including all state, federal and local
  • Represent the organization in a positive and professional manner at all
  • Comply with all organizational policies and standards regarding ethical business
  • Communicate the mission, ethics and goals of the
  • Participate in performance improvement and continuous quality improvement



  • Minimum of 1 year of relevant experience and/or training, or equivalent combination of education and experience and understanding of billing process for private and public health insurance programs.
  • Skilled in Microsoft Office (Word, Excel, Outlook) and eClinicalWorks (EHR system).
  • Ability to gain proficiency on additional computer programs required to perform the job.
  • Good verbal and written communication skills, including spelling and English grammar with ability to understand and complete oral and written instruction.
  • Spanish-speaking preferred but not required.
  • Reliable Transportation.

Preferred Experience

  • Prior medical billing experience with FQHC.
  • Customer Service

Knowledge, Skills, and Abilities

  • Requires a comprehensive knowledge of health in outpatient settings.
  • Excellent people skills, with an ability to partner with a dynamic leadership team.
  • Possess personal qualities of integrity, credibility, and commitment to corporate mission.
  • Flexible and able to multitask; can work within an ambiguous, fast-moving environment, while also driving toward clarity and solutions; demonstrated resourcefulness in setting priorities.
  • Maintain current knowledge of policies and procedures as they relate to safe work practices.
  • Follow all safety procedures and report unsafe conditions.
  • Ability to work with a diverse population.
  • Willing to work flexible hours, including evenings.
  • Must have reliable transportation and valid CA driver-s license and an insurable DMV record.
  • Must be self-directed and work productively with minimal supervision.
  • Ability to work effectively as a member of an interdisciplinary team
  • Demonstrated proficiency in using Microsoft applications such as Word, Excel, Access, Outlook
  • Knowledge of Electronic Health Records


Physical Requirements and Environmental Conditions

  • Prolonged periods of sitting and working on a computer.
  • Pushing and pulling objects up to 25 lbs.
  • Frequent wrist, hand, and finger dexterity to perform fine motor function.
  • Position requires light to moderate work with 25 lb. maximum weight to lift and
  • Full range of body motion requires twisting body, pushing, pulling, reaching, bending, stooping, and handling objects with hands and/or fingers, listening, talking, and/or hearing, and seeing.


Working Conditions

  • Non-Ionizing Radiation (microwaves)




Work Schedule

  • Monday – Friday; 9am – 6pm. Ability to work occasional evenings and weekends, as needed.
  • Your regular clinic(s) will be the following location(s): ONT 437


General Sign-off

The employee is expected to adhere to all agency policies and to act as a role model in adherence to company policies.

The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive list of all responsibilities.

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