Wesley Health Centers - JWCH Institute, Inc. · 5 months ago
Medical Biller
Los Angeles, CA, US
Full-time
Onsite
Entry Level
1+ years expJWCH Institute is dedicated to improving the health status of under-served populations in the Los Angeles area. The Medical Biller is responsible for ensuring billing accuracy, processing claims, and maximizing revenue through adherence to payer guidelines and timely payment processing.
Hospital & Health Care
Responsibilities
Review all patient encounters for discrepancies in a timely manner to prevent submission errors to insurance providers
Monitor and update patient information in the patient management system as necessary
Ensure billing accuracy by reviewing all patient encounters across payer sources (insurance, Medicare, Medicaid, etc.) with less than 1% error
Identify discrepancies and initiate necessary corrections promptly
Adhere to payer-specific guidelines, ensuring all eligible services are billed correctly, and research coverage and non-coverage for all payer types
Investigate and resolve issues related to eligibility, documentation, coding, procedures, and diagnoses. Collaborate with administrators to address any discrepancies found
Post payments accurately for various payers and run reports to verify entries. Track payments, reconcile visits, and apply necessary contractual adjustments or write-offs
Regularly review accounts to identify potential rebills, adjustments, or write-offs, ensuring accuracy in account management and timely follow-up on unpaid charges
Provide weekly updates to the Billing Supervisor, including error reports and updates on billing discrepancies. Assist with preparing reports on billing activities, discrepancies, and revenue trends
Enter and maintain up-to-date patient information in the management system, ensuring accuracy and compliance
Maintain strict adherence to HIPAA and all other regulatory requirements. Submit weekly encounter verification forms and reports on billing activities
Work closely with the billing team to streamline the revenue cycle, resolve payment delays, and support continuous process improvements
Perform other duties as assigned
Qualification
Required
High school diploma or GED Certification
Must possess a Billing Certificate
Must have at least 1 year of Medical billing and collection experience in a Medical office setting
Experience with Medicare, Medi-cal, Cross over insurances, HMO, County and Sliding Fee Discount billing and collection
Typing and computer proficiency skills
Flexible with schedule, willing to travel to multiple sites as needed
Knowledge of healthcare reimbursement, payment posting, and revenue cycle management
Excellent attention to detail with a focus on minimizing errors in billing processes
Strong analytical and problem-solving skills to identify and resolve discrepancies efficiently
Effective communication skills for working with administrators, the billing team, and management
Ability to manage multiple tasks, prioritize work, and meet deadlines consistently
Preferred
Bi-lingual Spanish and English
Microsoft Excel experience
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
H1B Sponsorship
Wesley Health Centers - JWCH Institute, Inc. has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (3)
2024 (2)
2023 (5)
2020 (2)
Funding
Current Stage
Growth StageLeadership Team
Al Ballesteros, MBA
CEO
Company data provided by crunchbase