La Clinica De La Raza Alameda, CA, USA
Mar 11, 2019Full time
Major Areas of Responsibility include but are not limited to: Claim Submission Maintain work operations for billing payers by following policies and procedures and identifying compliance issues. Maintain quality results by following set standards for billing and collection procedures and activities. Perform general clerical duties as required. This role involves a considerable amount of computer work. Claim Denial Management Work with Billers to make sure all information on claims is correct prior to submission. Audit the most complex patient claims for arithmetical accuracy, legibility, and compliance with program billing requirements. Understand complex reimbursement arrangements and is able to follow up with payors by working to assure that all claims are paid. Identify areas to improve claim submission data to reduce claim denials. Work to reduce Accounts Receivable by improving accuracy of claims and reducing claim denials. Patient/Payer Statements & Collection Secure outstanding balance payments for care of patients by posting, adjusting, balancing, and sending regular statements. Collect delinquent accounts by establishing payment arrangements with patients/payors; monitoring payments; following up with patients when payment lapses occur. Respond to patient/payor questions about claims and resolves billing issues Protect the organization by keeping collection information confide Location Billing Alameda Requirements Knowledge Knowledge of Health care third party reimbursement programs; such as Medicare, Medi-Cal, or private insurance. Knowledge of the methods, and practices of billing, accounts receivable, and collection. Knowledge of modern office methods and equipment. Abilities Ability to prepare financial reports and maintain ledgers and journals. Ability to interpret billing policies and procedures for various programs. Ability to independently carry out varied responsible billing assignments. Ability to solve problems and resolve conflicts. Other Certifications and Experience Requires high school diploma/equivalent Three years or more of full-time experience performing medical billing or medical accounts receivable functions. Excellent communication skills; must be able to work in a team environment Excellent customer service skills Full-Time/Part Time Full-time Salary Range 17.54 When applying, please note that you saw the job posted on the NOVA Job Board. If you need help with your resumé, please see a NOVA Career Advisor.