La Mesa, California
Posted: 18-Dec-24
Location: Inglewood, California
Categories:
Internal Number: 145275644
Venice Family Clinic is a leader in providing comprehensive, high-quality health care to people in need regardless of their income, insurance or immigration status. The organization has more than 500 staff who serve 45,000 people with compassion, dignity and respect across an area that spans from the Santa Monica Mountains through the South Bay. We have a network of clinics, Early Head Start centers and mobile clinics plus an expansive street medicine program to reach people experiencing homelessness. Read more about us at venicefamilyclinic.org
Come join our Venice Family Clinic as a Patient Biller II. Under the supervision of the Billing Manager, the Patient Biller II will:
- Be responsible for Third party billing including local contracts/programs and grants.
- Manage a billing portfolio, respond to correspondence, and continuously work with the Front Desk, Coordinators, site managers and Medical staff to ensure completion of encounters.
- Ensure correct and timely reimbursement.
- Perform follow-up and collection of claims submitted.
- Complete and reconcile payments and make notations of any discrepancies.
- Assist in ensuring the logs such as payment/collections/progress are completed.
- Utilize and develop audit tools to ensure the integrity of system data.
- Follow the Billing Policies and Procedures, and perform all other duties as assigned by management.
Diversity, Equity, and Inclusion are core values of the Venice Family Clinic. We believe the professional and clinical environments are enhanced when diverse groups of people with diverse ideas come together.
Salary range: $25.11- $33.17 Hourly
Required:
- Knowledge of State and Federal programs to ensure reimbursement from the State & Local contracts/programs and grants.
- Knowledge of HIPAA guidelines, and knowledge of health plan benefits to understand medical terminology and provider reimbursement methodologies.
- Detail knowledge and understanding of the ICD-10 CM coding, and CPT coding classification.
- Working knowledge in the insurance verification process to determine benefit eligibility and interpretation of coverage.
- Experience and accuracy with 10 key.
- Strong analytical skills and ability to analyze problems, formulate plans, solutions and a course of action.
- Ability to scrutinize insurance data independently and evaluate information for clarity, accuracy and completeness.
- Ability to work as part of a team, establish and maintain professional relationships with physicians, staff and co-workers.
- Ability to set own priorities, work independently, plan, initiates, organize, and prioritizes assignments.
- Ability to establish and maintain an organized filing system.
Preferred: Computer literate with emphasis in applications such as Microsoft Word, Excel, Outlook (calendaring) and Managed Care software.
