La Clínica de La Raza · 11 hours ago
Billing Specialist I (.20 FTE)
Oakland, CA
Full-time
Onsite
Mid Level
$24.79/hr - $32.53/hr
3+ years expLa Clínica de La Raza is a community-based health center committed to providing culturally appropriate, high-quality, and accessible health care. As a Billing Specialist, you will be responsible for maintaining a complex billing operation, ensuring claims submitted to payors are accurate, and managing claim denials to secure payments for patient care.
Health CareHealth DiagnosticsHospitalNon Profit
Responsibilities
Maintain work operations for billing payers by following policies and procedures and identifying compliance issues
Maintain quality results by following set standards for billing and collection procedures and activities
Perform general clerical duties as required. This role involves a considerable amount of computer work
Work with Billers to make sure all information on claims is correct prior to submission
Audit the most complex patient claims for arithmetical accuracy, legibility, and compliance with program billing requirements
Understand complex reimbursement arrangements and is able to follow up with payors by working to assure that all claims are paid
Identify areas to improve claim submission data to reduce claim denials
Work to reduce Accounts Receivable by improving accuracy of claims and reducing claim denials
Secure outstanding balance payments for care of patients by posting, adjusting, balancing, and sending regular statements
Collect delinquent accounts by establishing payment arrangements with patients/payors; monitoring payments; following up with patients when payment lapses occur
Respond to patient/payor questions about claims and resolves billing issues
Protect the organization by keeping collection information confidential
Qualification
Required
Knowledge of Health care third party reimbursement programs; such as Medicare, Medi-Cal, or private insurance
Knowledge of the methods, and practices of billing, accounts receivable, and collection
Knowledge of modern office methods and equipment
Ability to prepare financial reports and maintain ledgers and journals
Ability to interpret billing policies and procedures for various programs
Ability to independently carry out varied responsible billing assignments
Ability to solve problems and resolve conflicts
Ability to work across cultures and demonstrate support of diversity, equity and inclusion
Requires high school diploma/equivalent
Three years or more of full-time experience performing medical billing or medical accounts receivable functions
Excellent communication skills; must be able to work in a team environment
Excellent customer service skills
Benefits
This is a non-benefited position.
Company
La Clínica de La Raza
Who We Are Since its beginnings as a single storefront operation in Oakland in 1971, La Clínica has grown into a sophisticated provider of primary health care and other services, with 32 sites spread across Alameda, Contra Costa and Solano Counties.
1001-5000 employees
H1B Sponsorship
La Clínica de La Raza 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
2024 (1)
2022 (6)
2021 (1)
2020 (3)
Funding
Current Stage
Late StageTotal Funding
$0.04MKey Investors
Blue Shield of California
2025-04-23Grant
2010-08-12Grant· $0.04M
Leadership Team
Jane Garcia
CEO
Anita Juvvadi, MD (she/her)
Deputy Chief Medical Officer
Company data provided by crunchbase