Medical Biller 2

2d4a5356-e068-4295-b443-4d720d34acb5•Santa Fe Springs, CA

10h•$0 - $24

About The Position

Central Neighborhood Health Foundation (CNHF), a Federally Qualified Healthcare Center, is committed to improving the experience of care, improving population health, and reducing per-capita healthcare costs. The Medical Biller 2 corrects, completes, and processes claims and delegates tasks to the billing department team. The role generates reports from the EMR and Power BI to support accurate, timely billing and revenue posting. Under the supervision of the Revenue Cycle Manager, the position submits and follows up on claims, posts payments and charges, handles denials, and supports billing operations and month-end closing. The schedule is Monday through Friday, 7:30 a.m. to 4:00 p.m. The employee must maintain patient, employee, and Foundation confidentiality and handle protected health information in accordance with HIPAA.

Requirements

High school diploma or GED.
At least 2 years of experience handling medical billing and accounts receivable in a similar setting or related field.
Some training or background in ICD-10 and CPT codes.
Ability to understand and apply bookkeeping and accounting terminology.
Knowledge of medical and dental terminology and billing practices.
Experience using the practice management system of an electronic health system.
Experience at a Federally Qualified Health Center is required.
Knowledge of CPT and ICD-10 codes.
Ability to work under pressure and in time-sensitive situations.
Ability to manage multiple tasks and remain highly organized and detail-oriented.
Accuracy and strong analytical, problem-solving, time-management, and organizational skills.
Ability to communicate effectively with providers, other staff, and outside vendors.
Knowledge of CNCHC programs and support for its mission statement.
Ability to relate to the public regardless of ethnicity, religion, or economic status.
Ability to adapt to changes in clinic settings and payer requirements.
Punctual and regular attendance; report on time, prepared to work, and remain for the scheduled work hours.

Nice To Haves

Experience with the IMS practice management system is preferred.

Responsibilities

Submit accurate and complete paper and electronic claims to payers daily, in accordance with timely-billing requirements.
Post and reconcile patient payments, charges, and adjustments to patient accounts.
Manage retrieval, approval, and correction of claims submitted through the EHR system.
Review and interpret insurance EOBs, identify denial reasons, and follow up with corrections and appropriate next steps.
Complete filing and follow-up of encounter data submissions to health plans, IPAs, and other payers, including secondary and crossover billing.
Correct, rebill, or adjust denials in a timely manner.
Work with the Revenue Cycle Manager to ensure new programs and services are billable.
Enter cash receipts when needed and allocate and distribute them according to established protocols.
Meet weekly billing productivity targets of 375 or more claims and maintain a weekly error rate of 2% or below.
Maintain and review accounts marked “To Be Billed,” ensuring charges, including older charges, are completed and billed weekly.
Communicate with the Revenue Cycle Manager about inventory and outstanding claims.
Assist the Revenue Cycle Manager and other clinics with closing and balancing by the 10th of each month, and verify no prior-month claims remain outstanding.
Perform other assignments as directed by the Revenue Cycle Manager.
Generate reports from the EMR and Power BI to support timely billing and revenue posting.
Maintain patient, employee, and Foundation confidentiality, sharing protected health information only with appropriate parties and only as necessary.