Billing Specialist (Certificate Required)

VIACARE COMMUNITY HEALTH CENTERLos Angeles, CA
$25 - $30Onsite

About The Position

The Billing Specialist is responsible for submitting insurance claims, posting payments, and managing patient accounts to ensure accurate and timely reimbursement. This position works with patients, providers, and insurance companies to resolve billing issues, follow up on unpaid claims, and answer billing-related questions. The Billing Specialist maintains accurate records, provides excellent customer service, and ensures compliance with HIPAA and organizational policies.

Requirements

  • Billing certificate required.
  • High School Diploma or GED.
  • Knowledge of medical billing/collection practices.
  • Knowledge of computer programs.
  • Knowledge of business office procedures.
  • Knowledge of basic medical coding and third-party operating procedures and practices.
  • Ability to operate a computer and basic office equipment.
  • Ability to operate a multi-line telephone system.
  • Skill in answering a telephone in a pleasant and helpful manner.
  • Ability to read, understand and follow oral and written instructions.
  • Ability to establish and maintain effective working relationships with patients, employees, and the public.
  • Must be well organized and detail oriented.
  • Must have a reliable automobile for use on the job.
  • Must possess valid California Driver License.
  • Must have and maintain state-required automobile insurance coverage.
  • TB clearance, to be renewed every year.
  • Compliance with all mandated vaccinations and all boosters is a term and condition of employment.

Responsibilities

  • Prepares and submits clean claims to various insurance companies’ either electronically or by paper.
  • Answers questions from patients, clerical staff, and insurance companies.
  • Identifies and resolves patient billing complaints.
  • Prepares, reviews, and sends patient statements.
  • Evaluates patient’s financial status and establishes budget payment plans.
  • Follows and reports status of delinquent accounts.
  • Reviews accounts for possible assignment and makes recommendations to the Billing Supervisor, also prepares information for the collection agency.
  • Performs daily backups on office computer system.
  • Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers.
  • Processes payments from insurance companies and prepares a daily deposit.
  • Participates in educational activities and attends monthly staff meetings.
  • Conducts self in accordance with HPA’s employee manual.
  • Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
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