Hospital Billing Specialist

Pacific Medical Inc.Tracy, CA
$35,360 - $47,840Onsite

About The Position

Established in 1987, Pacific Medical, Inc. is a distributor of durable medical equipment; specializing in orthopedic rehabilitation, arthroscopic surgery, sports medicine, prosthetics, and orthotics. With the heart of the company dedicated to helping and serving others, we provide our services directly to the patient, medical networks, physician clinics, and offices. We are dedicated to the advancement of patient care through excellent service and product technology. We have an immediate opportunity to join our company. We are currently seeking a full-time (M-F 8:00AM-5:00PM) Hospital Billing Specialist in our Tracy office. This individual shall process purchase orders for hospital facilities/clinics and replace product for hospital facilities/clinics.

Requirements

  • High School Diploma or Equivalent
  • 1 year of Excel experience preferred
  • Microsoft office experience preferred
  • Hard working, self-motivated, possess strong attention to detail skills, strong work ethic, and a willingness to learn.
  • Ability to manage varying as well as scheduled tasks

Responsibilities

  • Process orders for hospital facilities.
  • Process product replacement for hospital facilities.
  • Maintaining coming bill back requests per facility.
  • Review incoming paperwork for accuracy and department compliance.
  • Compile monthly spreadsheets utilizing Microsoft Excel for each direct bill hospital
  • Verify/update bill back pricing as needed
  • Ensure requested bill backs are according to a contract agreement
  • Submit/Maintain purchase orders from hospital accounting departments for invoicing
  • Bill each hospital in accordance with the formulary
  • Process canceled files for bill back to contracted facilities
  • Prepare service invoices and invoicing inpatient Orthotic and Prosthetic services within time constraints and pricing per facility contract.
  • Maintain Buyout credits towards monthly bill backs
  • Maintain hospital bill back procedure for each facility
  • Assisting in updating contract pricing spreadsheets as needed
  • Works with Hospital Partnership Director to train the field on internal hospital process
  • Identify and communicate issues within the hospitals for successful resolution
  • Complete miscellaneous tasks and projects as assigned

Benefits

  • Medical
  • Dental
  • Vision
  • ER paid Life for Employee
  • Voluntary benefits
  • Medical FSA
  • Dependent FSA
  • HSA
  • 401k
  • Financial Wellness planning
  • 3 to 4 weeks of Paid Time Off
  • 10 paid holidays per year
  • Vacation accrual up to an annual max of 40 hours in the first 23 months
  • Vacation accrual up to an annual max of 80 hours with a rollover balance at 24 months
  • Sick accrual up to a max annual accrual of 80 hours with a max usage of 48 hours annually with a rollover balance
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