Job: Insurance Biller l

This posting has expired and is no longer available.

Job Description

  • Job Tracking ID: 512329-588260
  • Job Location: Escondido, CA
  • Job Level: Any
  • Level of Education: Any
  • Job Type: Full-Time/Regular
  • Date Updated: August 22, 2017
  • Years of Experience: Not Applicable
  • Starting Date: ASAP

Job Description:

Summary: Under the direction of the Billing Supervisor, the Insurance Biller is responsible for all computerized and manual billing to patients and third parties, including Medi-Cal, CHDP, Medicare, CMS, private insurance, Family Planning, and various other programs and funding sources. Responsible for correct coding implementation and compliance with procedures set by the department.

Essential Duties/Responsibilities:

  1. Maintaining department productivity and compliance standards.
  2. Monitoring of system posting process to confirm that claim status categories assigned and all transactions are captured for month end close.
  3. Reviews and processes patient eligibility with accuracy, to include acquisition of authorization numbers as needed.
  4. Reviews and corrects daily input in Practice Management system before finalizing transactions.
  5. Process payments, secondary, PM160 and account balance adjustments.
  6. Process refunds and recoupment requests.
  7. Monitoring/Reporting of discrepancies in contractual allowances, denial & payment trends, coding issues, and benefit changes.
  8. Report payers to be activated and deactivated.
  9. Process insurance rejections, ERA payer denials, third party vendor denials, error reports, etc.
  10. Responsible for month end reporting.
  11. Adjust patient and insurance balances on accounts as appropriate and resolve account questions and/or problems.
  12. Assist in maintaining an orderly filing system for all processes in regards to encounters as well as maintaining compliance standards.
  13. Provide customer service internally and externally with professionalism, courtesy, knowledge, and follow through.
  14. Handle Site/Insurance/Patient correspondence received in the department with a sense of urgency and appropriate follow through.
  15. Attend educational workshops as directed.
  16. Attend staff meetings.
  17. Other duties/projects as assigned.

Experience and Skills:

Qualifications:

  • Knowledge of CPT, HCPCS and ICD-9 and 10 codes; familiarity with regional and national payers (including Medicare HMO and Medi-Cal HMO plans).
    * Should be knowledgeable with MS Office (Word, Excel, Outlook) and have experience working in multiple billing software systems (eClinical Works experience a big plus!).

Skills: Attention to detail and accuracy; motivated self-starter; Enthusiastic.

Ability to work efficiently in a fast paced environment and follow through on processes; Excellent customer service skills required and ability to handle difficult situations.

Bilingual (English/Spanish) preferred.

Education: High School Diploma / GED .

Experience:

  • One year of front office experience in a health care setting verifying patient registration and insurance eligibility for multiple carriers.

Locations

Date Clinic
425 N. Date Street
Escondido, CA 92025
Date Dental Clinic
425 North Date Street
Escondido, CA 92025
El Cajon
855 E. Madison Ave.
El Cajon, CA 92020
Elm Clinic
460 N. Elm St.
Escondido, CA 92025
Grand Clinic
1001 E. Grand Ave
Escondido, CA 92025
Hemet, CA
-
Hemet, CA 92544
Ivy
401 E. Valley Pkwy.
Escondido, CA 92025
Lakeside Clinic
10039 Vine St.
Lakeside, CA 92040
MHS
Misson Avenue
Escondido, CA 92025
Palomar Medical Center - Hospitalist
425 N. Date
Escondido, CA 92025
Pauma Valley Clinic
16650 Highway 76, PO Box 655
Pauma Valley, CA 92061
Pediatrics & Prenatal Clinic
426 N Date St.
Escondido, CA 92025
Sun City
26926-B Cherry Hills Blvd.
Menifee, CA 92584
Temecula
41715 Winchester Rd., Suite 106
Temecula, CA 92590
Valley Parkway Clinic
728 East Valley Parkway
Escondido, CA 92025
Not Specified
-
Not Specified, NS 99997
Date Clinic
Date Dental Clinic
El Cajon
Elm Clinic
Grand Clinic
Hemet, CA
Ivy
Lakeside Clinic
MHS
Palomar Medical Center - Hospitalist
Pauma Valley Clinic
Pediatrics & Prenatal Clinic
Sun City
Temecula
Valley Parkway Clinic
Not Specified

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