Billing Specialist

$17.54 hourly
  • La Clinica De La Raza
  • Alameda, CA, USA
  • Feb 13, 2019
Full time Health Care / Medical

Job Description

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 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.


  • 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


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