Southern Indian Health Council · 16 hours ago
BILLING CLERK
Alpine, CA, US
Full-time
Onsite
Entry Level
$21/hr - $29.19/hr
2+ years expSouthern Indian Health Council is a healthcare organization located in Alpine, CA. They are seeking a Billing Clerk to assist with billing and clerical support services in the Billing department, focusing on charge verification, claims processing, and patient communication.
CharityCommunitiesHealth CareHome Health CareOutpatient Care
Responsibilities
Charge batches verification and pre-coding via PM/EHR
Ensure all expected charges are received from providers
Verify eligibility and authorization is obtained and correct insurance is present in PM
Verify documentation has been received for all new patients and specialty programs (Grants, PRC, Direct) including demographics, insurance and claim information
Verify appropriate use of CPT codes, ICD-10 codes and modifiers for all billable encounters
Daily processing of claims and claim edits
Correcting claim rejections through the clearinghouse
Collection of outstanding balances from insurances and patients
Creating EFT/Fiscal batches and posting corresponding insurance and patient payments
Create, review and mail patient statements weekly
Establish and maintain patient payment plans
Check status of unpaid claims
Provide additional documentation to get timely reimbursement
Manage and prepare documents for accurate claims follow-up
Review remit codes from EOB and ERA to identify denials and (zero) non-payments
Follow up with payer on the routing of claims
Communicate with the Billing and Coding Supervisor on all payer issues, problems and trends in a timely manner to guarantee resolution and reimbursement
Document all follow up pertaining to the resolution of patient accounts
Ability to work a flexible schedule may be required based on need
Other duties as assigned
Qualification
Required
Certificate from a medical institute or an Associate of Arts or Science Degree
At least two (2) years of experience in Medical/Dental/Pharmacy/Behavioral Health field
Knowledge of medical terminology, anatomy and physiology, CPT, HCPCS, and ICD-10 coding experience
A valid California driver's license required with application submission and must be maintained throughout employment
Must be insurable under SIHC vehicle insurance policy at the time of hire and throughout employment
Certifications and/or licenses appropriate to the positions required education and profession must also be valid and maintained
Reputation for honesty and trustworthiness
Ability to exercise good judgment, accept feedback and constructive criticism from supervisor
Attention to detail and ability to follow instructions
Ability to interact effectively and communicate with patients and coworkers in a professional and courteous manner
Must be highly confidential and work as a team with other staff
Strong customer service, team building, interpersonal, and organizational skills
Ability to establish and maintain effective peer relationships with coworkers within the department, interdepartmentally, and the public
Ability to express ideas clearly, concisely, and address audiences effectively
Ability to prioritize, meet deadlines, take initiative, be proactive, resourceful, and function in a rapidly changing environment
Ability to work with people of all social and ethnic backgrounds and to resolve conflicts, negotiate situations and facilitate consensus
Normal clinic/office environment
Ability to sit or stand for long periods of time
Ability to reach, bend, climb, stoop, lift up to 25 lbs
Ability to perform repetitive hand movement; use and view PC
Reliable transportation and car insurance as required by the state
Participation in all compliance training is mandatory
Ability to understand the implications and complexities of all compliance policies
Health must be adequate to perform all duties of the position
Applicants must successfully pass a pre-screening, including a tuberculin skin test or x-ray and a blood/urine drug screening test
Applicants must complete SIHC Application and Authorization Form, both must be submitted to Human Resources prior to the close date indicated
Preferred
Previous billing and collection experience
Previous IHS/FQHC experience
NextGen Healthcare EHR/EMR experience
Company
Southern Indian Health Council
Southern Indian Health Council provides health and wellness services.
51-200 employees
Funding
Current Stage
Growth StageTotal Funding
$0.5MKey Investors
The Conrad Prebys Foundation
2023-06-26Grant· $0.5M
Leadership Team
Terry Baines
Chief Compliance Officer
Recent News
2023-12-25
San Diego Union-Tribune
2023-12-25
Conrad Prebys FDN
2023-06-26
Company data provided by crunchbase