Billing Specialist Job at Clinica Family Health
This job exists to: The purpose of this position is to ensure accurate and timely billing.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
- Provides timely and accurate entry, processing, billing and follow-up of global billings.
- Corrects and submits billings according to Clinica and Program procedures manually or electronically.
- Follows up on all billings including rebilling and pay source determination.
- Completes timely and accurate entry and follow-up of inpatient and other out of clinic service encounters.
- Runs day end and month end procedures and identifies potential problems.
- Responds to patient inquiries professionally and resolves issues per Clinica policies.
- Manages encounter storage and retrieval as required.
- Proficient in the use of Clinica Patient Portal.
- Runs and processes all patient statements and third party claims on a timely basis as required.
OTHER DUTIES AND RESPONSIBILITIES:
- Maintains a safe work environment by remaining informed of and compliant with the clinic’s safety policies, and in particular by application of safe practices in area of own responsibility.
- Compliance:
- Knowledgeable of and compliant with laws and regulations governing area of responsibility.
- Responsible for reporting any potentially non-compliant conduct.
- Cooperates fully with our Compliance Officer in upholding our Compliance Plan.
- Performs other duties and responsibilities, as required.
SUPERVISION: No
SCOPE OF AUTHORITY:
Progress is reviewed quarterly and results are measured and formally evaluated annually.
POSITION QUALIFICATIONS:
Education and Experience:
- High school diploma or GED required.
Knowledge, Skills and Abilities:
- One year billing experience within a medical facility desired.
- Office skills including typing, accounting, 10 key entry, filing, computer terminal usage required.
- Dental office experience a plus.
- Knowledge of various payment programs and insurers desired.
- Knowledge of CPT, ICD-9CM HCPCS coding and medical terminology desired.
- Bilingual in Spanish strongly preferred.
- Sensitivity to low income ethnic minority community a must.
- Reports to work on time and on a regular basis.
PRINCIPAL WORKING RELATIONSHIPS:
- All Clinica employees
- Outside vendors and customers
MATERIALS AND EQUIPMENT DIRECTLY USED:
- Computer
- Data and data-based development and resources
- Telephone
WORKING ENVIRONMENT AND PHYSICAL ACTIVITIES:
- No risk of exposure to blood borne pathogens
- Usual office environment
- Ability to travel from clinic to clinic in own vehicle as required
- May require work outside of normal business hours
What we offer:
- Competitive Vacation Time
- Paid Holidays
- Medical Benefits
- Dental Benefits
- Vision Plan
- Retirement Plan
- Flexible Spending Account
- Growth Opportunities
Compensation: Approximately $17.10 - $19.83 per hour. All individual pay rates are calculated based on the candidate's experience and internal equity.
COVID-19 Vaccine (Required) Religious or Medical Exemptions available via application process.
Clinica Family Health is an Equal Opportunity Employer. We prohibit unlawful discrimination against applicants or employees on the basis of age 40 and over, race, color, religion, national origin, sex, disability, sexual orientation, gender identity, or any other applicable status protected by federal, state, or local laws.
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