Essential Job Functions
- Perform multiple aspects of the revenue cycle, including insurance verification, billing, coding, collections, and payment posting.
- Conduct detailed reviews of patient accounts to ensure accuracy and completeness of billing information.
- Perform insurance claim submissions and manage follow-ups on denied or underpaid claims.
- Execute telephone collections with insurance companies and patients, ensuring timely resolution of outstanding balances.
- Process daily reconciliation of charges, payments, and adjustments for all revenue streams.
- Coordinate EFT payments with ERA remittances and oversee bank deposit entries for accuracy.
- Verify and audit encounter forms, sign-in sheets, and shot logs for compliance and accuracy.
- Serve as a point of contact for patient account inquiries, providing excellent customer service and clear explanations of billing processes.
- Back up electronic claims submissions, including mailing HCFAs, processing patient statements, and managing account receivables.
- Monitor trends in claim denials and provide recommendations for process improvement to maximize revenue.
- Translate and provide billing support for Spanish-speaking patients as necessary.
- Maintain accurate records through scanning, filing, and shredding documents while adhering to confidentiality protocols.
- Support financial reporting by preparing accurate revenue and account balance summaries as requested.
- Assist with projects, process improvements, and additional revenue cycle tasks as needed.
- Collaborate with other staff members to ensure smooth month-end close processes and comprehensive coverage during absences or peak periods.
- Monitor and enforce compliance with all state and federal regulations, including HIPAA and healthcare coding standards.
Work Schedule Requirements:
1. Maintains a safe, clean and organized work area at all times.
2 Maintains professional appearance at all times; observes company dress code.
3. Uses Internet Clocking System accurately. No more than 3% error factor. Avoids unauthorized overtime 98% of the time.
4. Approaches work with a positive attitude. Demonstrates a willingness and ability to learn and accept change 95% of the time. Makes recommendations for positive changes. Accepts constructive criticism appropriately.
5. Effectively assumes responsibility for all other duties as assigned 95% of the time.
6. Maintains professional demeanor, is polite and considerate of others.
7. Communicates clearly and accurately in response to requests, problems and questions.
8. Uses time effectively and efficiently and meets deadlines.
9. Employee is technically competent, utilizes management software with skill.
Qualifications:
- Has a clear understanding of insurance and coordination of benefits.
· Minimum of 1 year experience in medical billing and collections.
· Working knowledge of appropriate coding systems; CPT, ICD-10, and HCPCS.
· Ability to multi-task in a busy environment.
· Ability to educate and train multiple staff members.
· Ability to effectively communicate with patients, physicians, office staff and sales representatives.
· Must demonstrate compliance with patient privacy and confidentiality (HIPAA).
Job Type: Full-time
Pay: $18.00 - $28.00 per hour
Benefits:
- 401(k) matching
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Ability to commute/relocate:
- Riverside, CA 92506: Reliably commute or planning to relocate before starting work (Required)
Experience:
- Medical Billing: 1 year (Preferred)
Work Location: In person
