Full Cycle Biller (FDH Chestnut)

Sante Health•Fresno, CA

About The Position

Fresno Digestive Health within Sante Health System in Fresno, CA is eager to find a Full-Cycle Biller to join one of our team. This position is responsible for performing the life cycle of the revenue cycle process. This includes intake of charges, analyzing documentation to verify correct coding, posting of charges and insurance/patient follow-up until charge is satisfied. If you have data entry experience and an excellent team player with exceptional organizational and people skills, apply today! ABOUT SANTE HEALTH SYSTEM Sante Health System is a Management Services Organization that serves multiple clients. "Sante" is the French word for health. Our name symbolizes our commitment to good health, progressive care, and leadership in our community. Sante is one of the largest healthcare claims and billing management companies in Central California. The strength of Sante is the extraordinary network of physicians, health plans, and other health service providers it offers the people of our valley. Sante coordinates with physicians, health plans, hospitals and ancillary providers to ultimately benefit the patient in a managed care environment. Sante Health System provides numerous client services such as billing, claims processing, contracting, credentialing, finance, human resources, information services, marketing/communications, physicians services, practice management, provider relations, quality improvement and utilization management. Sante is celebrating over 30 years of service to the community. We deeply understand that we would not be successful in enhancing the quality of life of our patients without our incredible team. This is why we have created a work culture that is comprised of talented, driven, dedicated, innovative and service driven professionals. We provide competitive pay, excellent benefits including medical, dental, vision and life insurance, 401k retirement plan, paid time off, and opportunities for advancement. Being part of our team is like being part of a big family. Join our team and make Sante Health System your home away from home. Apply today for this biller position using our initial 3-minute, mobile-friendly application. We look forward to meeting you! www.santehealth.net

Requirements

High school diploma/GED equivalent required.
Minimum 3 years billing experience required.
Required knowledge of Medicare, PPO, HMO, Workers' Compensation and Private Pay billing
Professional telephone etiquette.
Candidates should have exceptional people and communication skills, be highly skilled in multi-tasking in a fast paced environment, a commitment to achieving a high level of accuracy and attention to detail, and a no-task-too-small approach to the work.
Excellent verbal and written communication
Ability to multi-task in a fast paced environment, work independently and stay on task under general supervision.
Attention to detail and proficient follow-up skills
Maintain strictest confidentiality per HIPAA and company policy
Ability to problem-solve, plan, prioritize and complete tasks
Ability to deal effectively with changing priorities, deadlines and plans of action
Skill in establishing and maintaining effective working relationships
Ability to work to precise and established standards of accuracy

Nice To Haves

Prior experience using ICD-10 and CPT-4 coding preferred.
Epic experience preferred.
NextGen experience preferred.
Bilingual a plus

Responsibilities

Analyzes encounter forms for accuracy, reasonableness and completeness.
Accurately enters billing claims in a timely manner to expedite patient and third party payments.
Assists with reviewing and/or entering diagnosis and procedure codes.
Responsible for updating account information, patient address, insurance billing information.
Balances data entry of batch transmittal form noting all discrepancies to be discussed with the office manager.
Compiles daily individual productivity reports.
Notifies management of unusual coding and/or billing issues that may delay claim submission and/or payment.
Review and analyze account aging.
Assisting sites and patients with questions and concerns.
Telephone contact with insurance companies to expedite payment of claims.
Tracers and re-bills to insurance companies as necessary.
Telephone calls to patients, set-up payment schedules.
Determine if patient due accounts should be assigned to MBA or Collection agencies.
Notify sites of delinquent accounts.
Maintain patient and insurance aging at an acceptable percentage.
Notification to management of any concerns on unusual payments or claim processing from insurance companies.
Maintains strictest of confidentiality.
In the spirit of teamwork, employees are expected to follow any other job-related instructions and to perform any other job-related duties as requested.