Medical Billing Clerk

Feather River Tribal Health, Inc. • Oroville, CA

12d • $24 - $25 • Onsite

About The Position

Under the direction of the Billing Supervisor, the duties of this individual include but are not limited to: billing and processing of medical, BHS and dental claims for all payer codes; maintenance of medical, BHS and dental accounts receivable for the organization including posting of payments utilizing an electronic billing system; correcting errors in billing; maintenance of insurance information for patients; patient and insurance refunds, processes payments received electronically and manually; researches denied or unpaid claims.

Requirements

• Ability to communicate clearly and concisely.
• Human relation skills to deal effectively with patients, clients, staff, community members and visitors in a professional and courteous manner.
• Ability to work independently and productively.
• Demonstrate awareness, sensitivity and appreciation of Native American culture, traditions, customs and socioeconomic needs.
• Knowledge of all confidentiality requirements as outlined in the HIPAA
• Ability to maintain a professional attitude and appearance at all times.
• Ability to meet deadlines and assigned projects in a timely, efficient manner.
• Ability to make mathematical calculations quickly and accurately.
• Ability to use a variety of equipment and computer systems necessary to perform duties.
• Knowledge of medical and dental terminology, ICD-10, and CPT/CDTcoding.
• High school graduate or equivalent.
• Two (2) years experience in Insurance billing

Nice To Haves

• Ability to deal with time constraints and emotional stress and exposure to body fluids and viruses are also essential functions of this job.

Responsibilities

• Prepares billings for services provided in the FRTH service departments utilizing a computerized billing system.
• Transmission of claims electronically as well as manually for payment.
• Under the direction of the Billing Supervisor, collects payments and answers all billing inquires and coordinates and performs insurance follow-up.
• Breaks down all patient charges into ethnic and insurance categories.
• Maintains records of all insurance related regulations, changes and updates.
• Oversees maintenance of all related billing files.
• Recommends bad debt accounts for referral to collection agency in a timely manner.
• Under the direction of the Billing Supervisor, maintains and/or produces a variety of reports used in the tracking and billing of services including an aging report used for follow-up on all claims processed. Prepares monthly billing reports, and accounts pending diagnosis.
• Corrects and/or researches denied or unpaid claims and resubmits for payment.
• Performs monthly closing and balancing of billing activities based on schedules set by the Billing Supervisor.
• Participates in quality improvement activities.
• Respond and participate to inquiries regarding billing issues both on the phone and in person.
• Maintains confidentiality in all matters.
• At the time of hire, each employee will meet with their supervisor to set measurable goals and objectives that are a requirement for the position. These measurables will be monitored by the supervisor and reviewed during the introductory period. They will also be utilized in the annual performance evaluation. The measurables may change from year to year. The supervisor is responsible to notify the employee of any new measurables at the time of the performance review.
• Attend staff trainings and meetings as required.
• Participates in the development of processes and evaluation of systems used by department.
• Performs other related duties as needed.
• Learn and implement electronic health records and billing functions as they continue to evolve.
• Assist with a variety of duties in order to meet the needs of the department on an as needed basis.
• Other duties as assigned.

Benefits

• Employer-paid medical coverage starting the month after hire for all tiers — Self, Self + One, and Self + Family
• 100% employer-paid for employee-only coverage for Dental & Vision; additional family coverage available at a competitive rate
• 401(k) Plan: Available immediately upon hire with a 4% employer match
• $20,000 employer-paid Life Insurance policy for full-time employees, with options to purchase additional coverage
• Paid Time Off: Vacation begins accruing on your first day — up to 80 hours annually
• 14 Paid Holidays
• Loan Repayment Assistance Available

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED