Job description

We are hiring a Medical Biller Specialist who wants to make a real difference in our community!

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Essential Functions
Billing Process

• Responsible for all billing department activities including electronic billing file transfers, data entry, proper coding of patient services, patient billing, and receiving and posting of payments to patient accounts
• Runs and reviews all pre-billing reports prior to commencing the monthly billing cycle
• Ensures that all correspondence related to billing is responded to in a timely and appropriate manner
• Maintains awareness of changes in the healthcare field that directly affect our ability to bill for and collect for hospice services
• Prepares all monthly reports necessary to close the agency’s financial statements monthly, including patient statistics and revenues and receivables

Collection Process

• Monitors outstanding balances with payers and provide any requested information, resubmittals and/or appeals to collect in a timely manner in line with policies and procedures
• Maintains the collection rate at an acceptable level as determined by the goals of the agency
• Follows policy and proper processes for any patient balances deemed to be uncollectible or charity care
• Assists Admissions and Intake staff with patient insurance verification prior to patient admission
• Ensures subsequent authorizations are obtained and ongoing verifications are complete
• Maintains patient financial files and ensures that the patient’s billing information is up to date and complete
• Monitors dates for ongoing certifications and authorizations as required by the payer source and communicate deficiencies to medical/clinical personnel
• Develops and maintains system for tracking communications with insurance companies for obtaining ongoing authorizations for care
• Acts as a resource regarding patient financial needs and requirements for receiving benefits provided by Medicare/Medi-Cal, including answering questions raised by team members, patients, and patient’s family members
• Reports any detected trends in payments or denials, as well as procedural problems and makes recommendations regarding the correction of these trends and/or problems

Experience and Education

• Relevant associate degree or equivalent experience
• Two years of additional related experience
• Knowledge of Medicare/Medi-Cal and private insurance reimbursement concepts, regulations, and applications
• Microsoft Excel and query proficiency

Benefits

• Certified as a “Great Place to Work”
• Full Medical, Vision, and Dental; some plans qualify for a Health Saving Account (HSA)
• Up to 27 days of PTO
• 403b Retirement Account and generous company matching
• Group & Voluntary Life / AD&D Insurance
• Tuition Reimbursement
• Employee Discounts
• Employee Assistance Program

Come join our team and make a real difference when you go to work!

Job Type: Full-time

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