Interim Revenue Specialist

CASA PACIFICA CENTERS FOR CHILDREN & FAMILY•Camarillo, CA

2d•$24 - $36•Onsite

About The Position

Carries out the mission of Casa Pacifica as it pertains to recording revenue, billing, collecting, and administrative support to the programs. Works collaboratively within a team environment under the direction of the Accounting Manager. The Interim Revenue Specialist consistently upholds Casa Pacifica’s Standards of Behavior and demonstrates the organization’s core values of respect, integrity, courage, and compassion while working with internal and external business partners.

Requirements

Associate degree (AA), preferred; or equivalent from two-year college or technical school to include emphasis in Finance / Accounting / Administrative Support; or equivalent combination of education and experience.
Two to four years of experience and in-depth knowledge of healthcare billing, coding, and reimbursement processes.
Ability to read and interpret documents such as insurance requirements, authorizations, and coverages, safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence.
Ability to respond to inquiries from internal and external stakeholders and third-party payers. Ability to write reports and business correspondence and procedure manuals. Ability to effectively present information and respond to questions from groups of managers.
Ability to calculate figures and amounts such as discounts, interest, percentages, and ratios.
Meticulous attention to detail to ensure accuracy in billing and coding.
Ability to type 35-40 wpm and use a 10-key by touch.
Intermediate level Microsoft Excel expertise required.
Ability to work with financial systems.
Knowledge of healthcare billing processes, coding systems, and regulatory requirements and familiarity with insurance claim processing and reimbursement methodologies

Nice To Haves

Proficiency in medical billing software and Electronic Health Record (EHR) systems.
Experience in REV Connect is highly desirable.

Responsibilities

Prepare and submit accurate invoices to private insurance companies and government agencies within a reasonable time frame including meeting the month end deadlines.
Verify billing information for completeness, accuracy, and appropriate approvals, including verification of proper billing codes.
Utilize billing software/systems to generate and process invoices efficiently.
Verify insurance benefits and obtain initial treatment authorizations from private insurance companies.
Record and reconcile payments received from insurance companies and government entities. Update financial records and databases with payment details. Investigate and resolve discrepancies in payment records.
Monitor outstanding invoices and follow up with clients, insurance companies, or government agencies to ensure prompt payment. Communicate professionally and effectively to resolve payment issues or discrepancies.
Analyze aging reports and prioritize collection activities.
Generate reports on billing, payments, and collections activities as needed.
Understand and comply with all HIPAA regulations.
Ensure Medi-Cal eligibility or private insurance arrangements for new admissions. Regularly update and re-verify Medi-Cal eligibility on a monthly basis.
Liaise with County contacts to address billing issues and manage Service Authorization Requests (SARs).
Process Payer Financial Information (PFI) forms for clients as necessary.
Generate and distribute weekly Census reports for various programs. Add new client information to the financial software/database.
Engage in cross-training across other support services within the Finance department.
Provide assistance in other positions within the department as required.