MEDICAL BILLER AND COLLECTOR

Comprehensive Community Health Centers Inc.•Glendale, CA

2d•$23 - $27

About The Position

MEDICAL BILLER AND COLLECTOR JOB SUMMARY Performs highly technical and specialized functions for Comprehensive Community Health Centers. Responsible for taking the data provided by the medical coders and using it to compile and submit claims to insurance companies and then subsequently bill patients, research, resolve, and collect on all unpaid accounts

Requirements

High school diploma or general education degree (GED) with the one year experience in handling billing and account receivables in a similar set up or related field
Knowledge of medical/dental terminology and billing practices
Knowledge of business office procedures
Must be knowledgeable of the fiscal requirements, policies and procedures of federal and state programs
Ability to write routine reports and correspondence
Ability to read, analyze and interpret the most complex documents
Ability to respond effectively to the most sensitive inquiries or complaints
Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
Ability to deal with problems involving several concrete variables in standardized situations
Ability to interpret a variety of instructions furnished in written, oral, diagram or schedule form
Ability to work under pressure
Must be able to multi-task and prioritize needs in order to meet timelines
Must be well organized and detail-oriented
Requires knowledge of the business use of computer hardware and software to ensure the effectiveness and quality of the processing and presentation of data
Ability to find solutions when barriers are identified.
Strong documentation skills.
Ability to multi-task and prioritize when needed.
Ability to independently seek out resources and work collaboratively.
Ability to read, understand and follow oral and written instructions.
Experience and work ethics that supports working within a high functioning, team-oriented environment.
Demonstrates a willingness and ability to work under supervision.
Ability to develop and maintain good working relationships with staff.
Ability to use computer and learn new software programs.
Excellent interpersonal skills reflecting clarity and diplomacy and the ability to communicate accurately and effectively with all levels of staff and management.
Demonstrates ability to work in a regulatory climate that includes oversight of state and federal entities, payer contracts etc.
Possesses ability to communicate effectively, both verbally and in writing.
Possesses genuine respect for others and acceptance of their individual social and cultural traits.
Proficient knowledge of Microsoft Outlook.
Able to travel and attend professional meetings, conferences, trainings and clinic sites.
Demonstrate flexibility, enthusiasm, and willingness to cooperate while working with others in multi-disciplinary teams.
Performs other related duties as assigned.

Responsibilities

Use coded data to produce and submit claims to insurance companies
Verify accuracy of billing data and revise any errors
Prepare the appropriate claims documents required by each insurer
Daily posting of a variety of health service charges to patients’ accounts per payer
Daily closing and balancing of day posted
Prepare billing and/or rebilling
Prepare and maintain daily productivity report
Enter on a timely basis all charges, payments, credits, and adjustments by payer
Prepare clean claims to various insurance companies either electronically or by paper
Answer questions from patients, clerical staff and insurance companies
Identify and resolve patient billing complaints
Prepare, review and send patient statements
Maintain strictest confidentiality; adhering to all HIPAA guidelines/regulations
Maintain work operations by following policies and procedures; reporting compliance issues
Collect delinquent accounts by establishing payment arrangements with patients and also follow up with patients when payment lapses occur
Provide customer service regarding collection issues
Process customer refunds and review account adjustments
Resolve client discrepancies and short payments
Updates accounts receivable system with denial and group information
Review and appeal unpaid claims
Manage the Accounts Receivable reports
All other assignments as directed by the Billing Manger/Supervisor