Hospital Billing and Follow Up Specialist - Limited Term

Through growth and change, the San Mateo Medical Center (SMMC) remains committed to providing quality and compassionate medical care to meet the health needs of the community. Located in San Mateo, California, the SMMC is an acute care facility providing healthcare to our community and surrounding service area since 1930.

The San Mateo Medical Center is seeking an experienced Hospital Billing and Follow Up Specialist - Limited Term to perform difficult, technical, complex billing functions and business services support work. The successful incumbents will research and compliantly follow up on denied claims for services provided to county justice inmates. Researching varies payer guidelines and regulations; manage and monitor a caseload of accounts; resolve billing questions with fiscal intermediaries, physicians, and others; enter, retrieve, and interpret data using a hospital billing system; prepare reports and maintain accurate records. The Hospital Billing and Follow Up Specialist successfully resolves correctional facility, hospital and physician claims while adhering to HIPAA and payer regulation. They will also lead direction of others is not a regular part of the job, although project or relief leadership may be required.

The ideal candidate will possess:

• Proven experience with medical claims billing and follow-up, including two years of hospital and/or clinical billing and collections.
• Experience with Medi-Cal, insurance billing and follow-up guidelines.
• Excellent written and oral communication skills, and solid organization skills.
• Ability to establish and maintain effective working relationships with physicians, internal and external department staff, and respective payer representatives.
• Familiarity with various EPIC Billing Systems:
• Proficiency in Microsoft Excel and Word.
• The ability to resolve complex accounting.
• Ability to resolve patient concerns regarding their accounting.
• Knowledge of Governmental payer policies and regulations.
• Operate standard office equipment, personal computer, telephone equipment, fax machine, and scanner.

The current vacancies are two Limited-Term, Full Time, vacancies.