Billing Clerk II

Family Health Centers of San Diego•San Diego, CA

19h•Onsite

About The Position

Performs patient related business office duties such as generating patient and payor bills, patient account inquires, verification of medical coverage, patient refunds, cashiering, and collections. The Billing Clerk II directly communicates with patients, third party payors, and providers regarding billing information. The Billing Clerk II handles bills and payors of mid-level complexity, referring to procedure manuals when necessary but primarily relying on experience and the ability to make independent judgments for billing decisions. Requirements: Completes all required documentation accurately, in a timely manner, and thoroughly in accordance with department standards; in addition, documentation complies with patients' insurance requirements. Files documents and updates electronic records accurately. Creates and sends routine and non-routine claim forms for assigned 3rd party payor sources, using independent judgment to resolve non-routine billing issues. Verifies information for accuracy and completeness. Works with accounts and payors of moderate complexity, requiring thorough knowledge of billing requirements. Follows up and resolves accounts receivables; collects payments from patients for self-pay or co-pay/deductible accounts. Performs data entry with accuracy and timeliness. Performs other duties as assigned. Posts payments and updates accounts with denials. Follows up on pending requests and denials.

Requirements

At least 2 years experience with high-volume medical billing and 3rd party payors.
High school diploma or GED equivalent required.
Equivalent combination of education and experience that provides the skills, knowledge and ability to perform the essential job duties, and which meets any required state or federal certification requirements.
Must have a valid California driver’s license, an automobile, and proof of minimum levels of car insurance as required under California law.
An acceptable driving record is also required.

Nice To Haves

CRT and ten key experience preferred.
Graduation from a related technical school, or equivalent experience in the medical field, preferred.

Responsibilities

Generates patient and payor bills.
Handles patient account inquiries.
Verifies medical coverage.
Processes patient refunds.
Performs cashiering.
Manages collections.
Communicates with patients, third party payors, and providers regarding billing information.
Handles bills and payors of mid-level complexity.
Completes all required documentation accurately, in a timely manner, and thoroughly in accordance with department standards.
Ensures documentation complies with patients' insurance requirements.
Files documents and updates electronic records accurately.
Creates and sends routine and non-routine claim forms for assigned 3rd party payor sources.
Resolves non-routine billing issues using independent judgment.
Verifies information for accuracy and completeness.
Works with accounts and payors of moderate complexity.
Follows up and resolves accounts receivables.
Collects payments from patients for self-pay or co-pay/deductible accounts.
Performs data entry with accuracy and timeliness.
Posts payments and updates accounts with denials.
Follows up on pending requests and denials.