Yosemite Pathology & Precision Pathology · 4 days ago
Billing Claims Specialist, Accounts Receivable
4301 North Star Way, Modesto, CA 95356, USA
Full-time
Onsite
Entry, Mid Level
$44K/yr - $56K/yr
2+ years expYosemite Pathology & Precision Pathology is looking for a Billing Claims Specialist to play a critical role in integrating billing and revenue cycle best practices. The position focuses on claims processing, managing accounts receivable, and ensuring timely reimbursement for all payor groups.
Health CareHealth DiagnosticsMedicalPersonal Health
Responsibilities
Answers and directs phone calls
Responds to messages in a timely manner
Investigates denied claims in a timely manner, researching the cause and submitting appeals as needed to ensure successful reimbursement
Reviews and submits corrected claims for any errors, ensuring that all necessary information is updated to facilitate proper reimbursement
Keeps assigned accounts and tasks current within the time frame set by the manager, ensuring efficient and organized management of workload
Achieves or exceeds daily KPIs related to accounts receivable, claims follow-up, and collections
Completes the processing of error claims and those with no activity in a timely manner to ensure no claims are left unresolved
Corresponds with hospitals and doctor's offices to obtain missing information
Forwards qualifying accounts to third party collections agency as needed
Always adheres to HIPAA compliance, including when accessing client portals
Supports positive change in the department
Supports the team to improve collections, communicate issues, and implement ideas
Supports internal and external audits by providing necessary documentation and addressing any audit findings
All other duties as assigned
Qualification
Required
High school diploma
2+ year of medical billing experience (Pathology billing experience is a plus)
Detail-oriented and ability to demonstrate a positive and proactive attitude
Proper phone etiquette is a must
Strong ability to detect billing errors, resolve discrepancies, and ensure data accuracy
Excellent written and verbal communication skills
Ability to multi-task in a fast-paced, high volume environment
Proficient with RCM software (e.g., Epic, Cerner, or similar), EHR/EMR systems, Microsoft Office Suite (especially Excel), and payor websites
Skilled in performing repetitive duties on a daily basis
Ability to establish effective and professional working relationships with other staff members
Benefits
401(k) includes an employer match up to 4%
Robust health plans including dental, vision, life, and mental health support.
Offer generous annual vacation and sick time
10 paid holidays
Annual scrub allowance for Lab roles
Company
Yosemite Pathology & Precision Pathology
Yosemite & Precision Pathology is a pathology physician group with an advanced anatomic pathology laboratory that is CLIA certified and fully accredited by the College of American Pathologists (CAP)
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Toby Ann Benguerel, MSA, CPA
Chief Financial Officer
Company data provided by crunchbase