Public Health Programs Billing Specialist - Limited Term

County of San Mateo•San Mateo, CA

14d

About The Position

Family Health Services and Public Health, Policy and Planning are seeking an experienced Public Health Programs Billing Specialist to perform complex billing functions, data entry, and business services support. The specialist researches and compliantly bills for services provided by public health clinics using a third-party claim editing system and applicable payer guidelines and regulations. The role manages and monitors an account caseload, researches and resolves billing questions with fiscal intermediaries, physicians, and others, enters, retrieves, and interprets data in a hospital billing system, prepares reports, and maintains accurate records. The position is responsible for billing and resolving clinic and physician claims while adhering to HIPAA and payer regulations. Regular lead direction of others is not part of the job, although project or relief leadership may be required. The position reports to San Mateo Medical Center’s Patient Financial Services team, which supports public health programs including California Children’s Services and Edison and Mobile Clinics. The programs are organizationally located within Family Health Services and Public Health, Policy and Planning, respectively. Understanding program requirements and workflows and translating billing requirements for program staff are key aspects of the role. This is a limited-term, at-will, full-time position. Limited-term employees are assigned to appointments not to exceed three years. The schedule is Monday through Friday, with eight-hour workdays scheduled between 6:30 a.m. and 5:00 p.m. The position provides medical and dental benefits similar to those offered to regular employees and a defined contribution retirement plan.

Requirements

Proven experience with medical claims billing and follow-up, including two years of hospital and/or clinical billing and collections.
Experience with Medicare, Medi-Cal, and commercial insurance billing and follow-up guidelines.
Knowledge of medical terminology related to patient services support work.
Knowledge of policies and procedures related to patient services, office support, and hospital or clinic business office activities.
Knowledge of office administrative practices and procedures, including filing and operation of standard office equipment.
Knowledge of basic business data processing principles and word processing or computing equipment.
Knowledge of proper form for typed materials, business arithmetic including percentages and decimals, correct English usage, and record-keeping principles and procedures.
Ability to perform technical, specialized, complex, or difficult patient services office support work.
Ability to organize, prioritize, and coordinate work; read, interpret, and apply rules, policies, and procedures; and research and maintain patient and office files.
Ability to establish and maintain effective working relationships with people contacted in the course of work.
Ability to compose routine correspondence, make accurate arithmetic calculations, and use initiative and sound independent judgment within established guidelines.
Ability to operate standard office equipment, including a word processor, personal or online computer, and centralized telephone equipment.
Any combination of education and experience that provides the required knowledge, skills, and abilities; a typical qualification is one year of journey-level office support experience in a patient services setting.
Some specific positions may require typing 40 net words per minute from printed copy.
Thorough responses to supplemental questions must be submitted with the standard San Mateo County employment application; a resume is not accepted as a substitute.

Nice To Haves

Familiarity with patient accounting and billing systems such as EPIC, Invision/OAS, Data Systems Group Claims editing, and the Colburn Hill follow-up system.
Proficiency in Microsoft Excel and Word.
Excellent written and oral communication skills and solid organizational skills.
Ability to resolve complex accounting issues and patient concerns regarding their accounting.
Knowledge of governmental payer policies and regulations.

Responsibilities

Research and compliantly bill for public health clinic services using a third-party claim editing system and applicable payer guidelines and regulations.
Manage and monitor a caseload of accounts.
Research and resolve billing questions with fiscal intermediaries, physicians, and others.
Enter, retrieve, and interpret data using a hospital billing system.
Prepare reports and maintain accurate records.
Successfully bill and resolve clinic and physician claims while adhering to HIPAA and payer regulations.
Understand program requirements and workflows and translate billing requirements to program staff.
Provide project or relief leadership when required.
Perform technical, specialized, complex, or difficult patient services office support work.
Organize, prioritize, and coordinate work activities; interpret and apply rules, policies, and procedures.
Organize, research, and maintain patient and general office files.
Compose routine correspondence, make arithmetic calculations, and operate standard office equipment.