Job Summary
Under direct supervision of the Billing Manager, the Billing Clerk II is responsible for maintaining the clinic billing of all patients, including Medi-cal, Medicare, and third-party billing; and for maintaining an open line of communication with all insurance carriers, including follow-up, denials, and appeals; and for maintaining a professional demeanor with all patients to comply with patient confidentiality (HIPAA) as well as other department managers and staff.
Duties and Responsibilities
• Calls insurance companies to verify insurance eligibility and coverage. • Performs basic mathematical computations. • Works with insurance denials and follows up on claims status. • Assists patients with problems concerning their accounts. • Covers cashier and Financial Screener stations, when needed. • Reviews & Analyzes the A/R Aging Report on a regular basis. • Reports any incidents or patient complaints to Billing Manager. • Performs special billing projects. • Commutes from different clinic locations as requested to cover other Billing staff or attend meetings and in-service trainings. • Scheduled to work every other Saturday as a Financial Screener/Cashier (8 hour shift and some Holidays). • Responsible for following all Agency safety and health standards, regulations, procedures, policies, and practices. • Performs other duties as assigned.
Requirements
Bilingual (English and Spanish)
Medical Billing/Coding Certification
Two (2) years billing experience in a medical setting
Have the ability to prioritize, organize, trouble shoot and problem solve.
Effective verbal and written communication skills.
Knowledge in current ICD 9, ICD 10, CPT Codes & HCPCS.
Knowledge in Insurance verification & eligibility.
Must have reliable transportation.