Wesley Health Centers - JWCH Institute, Inc. · 5 months ago
Billing and Collection Specialist
Los Angeles, CA, US
Full-time
Onsite
Entry, Mid Level
2+ years expJWCH Institute is a healthcare organization seeking a Billing and Collection Specialist. This role is responsible for managing complex billing processes, handling insurance claims, and ensuring timely posting of receivables while collaborating with internal teams and external payers.
Hospital & Health Care
Responsibilities
Prepare and submit claims to third-party payers, including Medicare, Medi-Cal, Denti-Cal, and commercial insurances
Review claims for accuracy, ensuring compliance with payer-specific requirements and regulations
Follow up on unpaid or denied claims, reprocessing them as necessary to secure payment
Generate and distribute billing statements to patients and third-party payers
Monitor accounts receivable, working diligently to reduce outstanding balances and increase collection rates
Process patient payments, ensuring all transactions are accurately recorded and posted on the same day
Balance daily batches and maintain accurate financial records
Prepare and review encounter reports, addressing any discrepancies in visit documentation and billing codes
Evaluate accounts for corrections, including adjustments, write-offs, and charge reversals, in line with established policies
Collaborate and communicate with clinic administrators, front-line staff, and vendors to resolve billing issues and discrepancies
Maintain open communication with the Billing Project Coordinator and Supervisor regarding claim status, workflow, and other critical billing matters
Uphold confidentiality and comply with HIPAA regulations in all billing activities
Identify areas for improving billing efficiency and accuracy, contributing to the overall financial health of the organization
Stay up-to-date with changes in billing regulations, payer requirements, and coding guidelines to ensure continued compliance
Perform additional duties as assigned
Qualification
Required
Billing Degree or Certificate
High school diploma or equivalent (GED)
2-3 years of billing experience, with expertise in Medicare, Medi-Cal, Denti-Cal, and commercial third-party billing
Familiarity with ICD-10 coding guidelines
Strong interpersonal and communication skills, with the ability to collaborate effectively with managers, administrators, clinic staff, and vendors
Proficiency in Microsoft Word, Excel, and Outlook
Strong problem-solving skills and the ability to handle difficult situations professionally
Ability to manage multiple tasks and prioritize effectively to meet deadlines
Excellent interpersonal skills, with the ability to work independently and as part of a team
Commitment to maintaining confidentiality and ethical standards in line with HIPAA and other relevant regulations
Preferred
Bilingual in English and Spanish
Experience working in a Federally Qualified Health Center (FQHC) setting
Benefits
Medical, Dental, Vision
Monthly employer-sponsored allowance for assistance with health premiums.
Funded Health Savings Account (up to deductible) to assist with carrier-approved medical expenses.
Paid time off (vacation, sick leave) and 13 paid holidays.
401(k) Safe Harbor Profit Sharing plan.
Mileage reimbursement.
Short- and long-term disability plans (LTD/STD).
Life insurance policy & AD&D, and more!
Company
Wesley Health Centers - JWCH Institute, Inc.
JWCH provides comprehensive health care services to safety-net populations in Los Angeles. We are the largest provider of care to homeless persons.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Al Ballesteros, MBA
CEO
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