Biller Jobs

About The Position

Requirements

• High school diploma or equivalent required.
• One year of medical billing experience in a healthcare setting preferred, ideally within a community health center or FQHC environment (Medical Biller I).
• Basic knowledge of CPT, ICD-10, and HCPCS coding, as well as familiarity with Medi-Cal, Medicare, and managed care plans is preferred (Medical Biller I).
• Experience with electronic health records and practice management systems is highly desirable.
• Must have valid California driver’s license and liability insurance if driving a personal or company vehicle on BHS business.
• Vision, hearing, manual dexterity, and eye-hand coordination must be adequate for the performance of job duties.
• Able to sit at a desk, use a keyboard, write and physically perform other job duties.
• Able to move about the facility to observe clients and staff.
• Ability to maintain confidentiality and comply with HIPAA regulations.
• A minimum of four years of progressively responsible medical billing experience in a healthcare setting is required, preferably within a community health center or FQHC environment (Medical Biller II).
• Strong knowledge of CPT, ICD-10, and HCPCS coding, as well as familiarity with Medi-Cal, Medicare, and managed care billing required (Medical Biller II).
• Ability to demonstrate professional judgment and decision-making.
• Ability to adhere to professional standards.
• Strong attention to detail and accuracy in data entry and claim submission (Medical Biller I).
• Ability to manage multiple tasks and meet deadlines in a fast-paced environment.
• Effective communication and problem-solving skills.
• Team-oriented with a customer service mindset.
• High level of accuracy and attention to detail (Medical Biller II).
• Strong analytical and problem-solving skills, with ability to identify trends and implement solutions (Medical Biller II).

Nice To Haves

• Ideally within a community health center or FQHC environment (Medical Biller I).
• Experience with electronic health records and practice management systems is highly desirable.
• Preferably within a community health center or FQHC environment (Medical Biller II).

Responsibilities

• Prepare and submit accurate claims to Medi-Cal, Medicare, and commercial payers in a timely manner.
• Review patient accounts for completeness, including insurance verification, coding, and required documentation.
• Monitor claim status and follow up on unpaid, denied, or rejected claims.
• Identify and resolve billing discrepancies, including eligibility issues and authorization requirements.
• Post payments, adjustments, and denials accurately into the practice management system.
• Assist with processing patient statements and responding to billing inquiries.
• Maintain knowledge of FQHC billing requirements, including PPS and wrap-around payments.
• Ensure compliance with federal, state, and payer-specific billing regulations.
• Communicate with front office and clinical staff to correct or clarify billing information.
• Maintain accurate and organized billing records for audit and compliance purposes.
• Support month-end close processes and reporting as needed.
• Participate in safety program to promote client and staff safety.
• Maintain professional boundaries and standards of conduct.
• Treat clients with respect, care, and concern at all times.
• Maintain health and safety standards within the facility.
• Recognize personal biases and demonstrate cultural sensitivity when working with diverse populations.
• Attend meetings, trainings, and participate in committees as assigned.
• Perform other duties as assigned.
• Analyze and resolve billing discrepancies, including eligibility issues and authorization requirements (Medical Biller II).
• Identify denial trends and implement corrective actions in collaboration with internal teams (Medical Biller II).
• Ensure appropriate follow-up and resolution for posted payments, adjustments, and denials (Medical Biller II).