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Native American Health Center · 4 months ago

Billing Tech II

Oakland, CA, USA

Full-time

Onsite

Mid Level

$26.05/hr - $30.71/hr

3+ years exp

Native American Health Center is an accredited facility dedicated to providing healthcare services. The Billing Tech II position is responsible for accurate charge entry, collection, and reviewing payor accounts, while also providing training for junior billing staff.

Health CareWellness

Responsibilities

Performs daily billing of claims and adjustments to third party insurance according to departmental guidelines and standards. Responsible for communicating with payor on assigned accounts to ensure correct claim is submitted

Ensures that special billing needs by carrier are performed to prevent denial of claims and delay in payment

Apply appropriate co-pay for self-pay invoices

Prepares and submits all final bill claims, secondary claims, rebills and late charges on a daily basis maintaining a current status

Performs routine follow up on unpaid insurance claims. Take appropriate action to resolve problems causing delay in reimbursement

Thoroughly documents all telephone and correspondent communications with third-party payers and guarantors

Prioritizes and works on accounts in assigned work queue to ensure all accounts are submitted in a timely manner

Contacts guarantors and other insured parties when additional information is needed for the insured. Takes appropriate action to resolve any delay in reimbursement

Communicates with providers and department staff to enlist assistance with collection and encounter issues on a daily basis

Review and confirm eligibility as needed to ensure proper payor is listed for each encounter

Ability to access payor websites as needed to process a claim

Provide excellent customer service at all times. Able to answer member questions about their account and resolve issues as appropriate

Responsible for collections on assigned payor accounts

Make appropriate adjustments to processed claims

Fully responsible for communicating with payor on assigned accounts

Works on special projects as assigned

Follows-up and resolves aging accounts with 30+ days

Contacts guarantors and other insured parties when additional information is needed for the insured. Takes appropriate action to resolve any delay in reimbursement

Performs special research or training projects requiring comprehensive understanding of billing procedures

Employee Safety: Safely performs all duties; follows required protective protocols to ensure personal safety as well the safety of others

Must maintain compliance with ergonomic safety standards; be mindful of posture and regularly practice ergonomic stretches

Actively participate in internal quality improvement teams and work with members proactively to drive quality improvement initiatives in accordance with the mission and strategic goals of the organization, federal and state laws and regulations, and accreditation standards, when assigned

HIPAA: Keep all protected health information (PHI) confidential and abide by HIPAA policies for the release and disclosure of any PHI. Will report unauthorized use of disclosure of PHI immediately, to supervisor or HIPAA security officer

Work well under pressure, meet multiple and often competing deadlines

At all times demonstrate cooperative behavior with supervisors, subordinates, colleagues, clients and the community

Other duties as assigned by Supervisor

Qualification

EPICThird-party billing regulationsMedical Billing certificateData entryFluency in SpanishCustomer serviceTactDiplomacyComputer literateOrganizational skillsTeamwork

Required

Must have HS Diploma or GED equivalent

Minimum of 3 years' experience in a healthcare environment

Experience with EPIC

Working knowledge of third-party billing regulations

Must be comfortable utilizing 10 key, keyboard and type a minimum of 50 WPM

Extremely well organized and detail-oriented with ability to set appropriate priorities

Must be able to work well independently as well as a part of a team

Must be detailed oriented with organizational skills which involve the ability to prioritize and manage workflow, to produce high quality work, to work independently with minimal supervision and the ability to use good judgement

Must be able to provide TB and Physical clearance prior to start date

CPR certification must be obtained within 90 days and kept current at all times

Ability to employ tact, diplomacy and compassion

Must have a positive attitude and sense of humor

Computer literate – must be familiar with MS Office

Preferred

Medical Billing certificate

Fluency in Spanish is desired

Highly experienced in data entry with knowledge of medical software systems

Knowledge of all Medi-Cal payor programs and FQHC billing

Familiarity with the American Indian community

Benefits

Competitive salaries

Personal time off (PTO) or sick/vacation leave program

Employer contribution 403(b) retirement plan to full-time regular status employees

Medical, vision, dental, flexible spending, group term and voluntary life insurance coverage for employees and their dependents—with a percentage of employee contribution for dependent medical premiums