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Casa Pacifica · 1 day ago

Interim Revenue Specialist

Camarillo, CA

Full-time

Onsite

Entry, Mid Level

$23.50/hr - $36/hr

2+ years exp

Casa Pacifica restores hope and enhances resilience for children, young adults, and families. The Interim Revenue Specialist is responsible for recording revenue, billing, and collecting payments while providing administrative support to the programs under the direction of the Accounting Manager.

Child CareHealth CareMental HealthNon Profit

Culture & Values

Responsibilities

Prepare and submit accurate invoices to private insurance companies and government agencies within a reasonable time frame including meeting the month end deadlines

Verify billing information for completeness, accuracy, and appropriate approvals, including verification of proper billing codes

Utilize billing software/systems to generate and process invoices efficiently

Verify insurance benefits and obtain initial treatment authorizations from private insurance companies

Record and reconcile payments received from insurance companies and government entities. Update financial records and databases with payment details. Investigate and resolve discrepancies in payment records

Monitor outstanding invoices and follow up with clients, insurance companies, or government agencies to ensure prompt payment. Communicate professionally and effectively to resolve payment issues or discrepancies

Analyze aging reports and prioritize collection activities

Generate reports on billing, payments, and collections activities as needed

Understand and comply with all HIPAA regulations

Ensure Medi-Cal eligibility or private insurance arrangements for new admissions. Regularly update and re-verify Medi-Cal eligibility on a monthly basis

Liaise with County contacts to address billing issues and manage Service Authorization Requests (SARs)

Process Payer Financial Information (PFI) forms for clients as necessary

Generate and distribute weekly Census reports for various programs. Add new client information to the financial software/database

Engage in cross-training across other support services within the Finance department

Provide assistance in other positions within the department as required

Qualification

Healthcare billing knowledgeMedical billing softwareElectronic Health Record (EHR)Microsoft ExcelAttention to detailMathematical skillsTyping skillsCommunication skills

Required

Associate degree (AA), preferred; or equivalent from two-year college or technical school to include emphasis in Finance / Accounting / Administrative Support; or equivalent combination of education and experience

Two to four years of experience and in-depth knowledge of healthcare billing, coding, and reimbursement processes

Ability to read and interpret documents such as insurance requirements, authorizations, and coverages, safety rules, operating and maintenance instructions, and procedure manuals

Ability to write routine reports and correspondence

Ability to respond to inquiries from internal and external stakeholders and third-party payers

Ability to write reports and business correspondence and procedure manuals

Ability to effectively present information and respond to questions from groups of managers

Ability to calculate figures and amounts such as discounts, interest, percentages, and ratios

Meticulous attention to detail to ensure accuracy in billing and coding

Ability to type 35-40 wpm and use a 10-key by touch

Intermediate level Microsoft Excel expertise required

Proficiency in medical billing software and Electronic Health Record (EHR) systems

Ability to work with financial systems

Knowledge of healthcare billing processes, coding systems, and regulatory requirements and familiarity with insurance claim processing and reimbursement methodologies