Job description

Key Responsibilities:

• Process paper and electronic claim forms for chargeable and billable services, resolve billing system edits, and ensure appropriate documentation is included for adjudication.
• Review billing correspondence, apply appropriate denial and claim status codes, and work closely with Revenue Cycle Director to resolve identified trends and problems.
• Follow up and reprocess claims as necessary, analyze complex financial data, and implement new systems and processes for managing unpaid or underpaid bills or claims.
• Collaborate with clinic managers/supervisors and providers to resolve billing inquiries and educate patients on personal financial responsibility and expectations.
• Collect and reconcile cashier funds, prepare daily journals, and maintain ancillary Excel spreadsheets for reconciliation, statistical, and audit purposes.
• Interpret treatment plans, verify insurance coverage, and create financial arrangements, pre-authorization determination of benefits, and payment plan agreements.
• Serve as a resource for front desk and treatment planners, keep abreast of changes in government regulations and requirements of all third-party carriers, and contribute to the development of new administrative processes to streamline billing workflow and improve efficiency.
• Assist in the development of training material on changes to systems or operational procedures and perform other duties as assigned.

Required Qualifications :

• At least 1 year of previous Insurance Follow up experience.
• High school graduation and four years of related administrative experience; or an equivalent combination of education and experience
• Demonstrate the Ability to communicate effectively (orally and written).
• Experience with MS EXCEL and OUTLOOK.
• Effective Time Management and Ability to Meet Deadlines
• Ability to work independently or as needed with a team.
• Ability to meet productivity and quality standards.
• Demonstrates positive attitude and excellent customer service skills.
• Proven ability to coach and mentor staff for optimal results
• Ability to set priorities, goals and objectives
• Demonstrate the ability to perform all aspects of billing and follow-up with superior quality.
• Excellent Attendance Record.

Preferred Qualifications :

• Prior working knowledge of the EPIC (Apex) system, especially PB or HB Insurance Follow up Module(s).
• Prior experience in a medical office environment; strongly preferred
• knowledge of UC Peoplesoft
• Bachelor's degree in related area and/or equivalent experience/training
• Certified Procedure Coding (CPC)
• Certified Dental Coding (CDC)
• Associates or Bachelor’s Degree

Job Type: Temporary

Pay: $30.00 - $43.00 per hour

Benefits:

• Disability insurance
• Health insurance
• Paid time off

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Ability to commute/relocate:

• San Francisco, CA: Reliably commute or planning to relocate before starting work (Required)

Work Location: In person

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