Medical Biller

Job Description

Job Description

Mission Statement : The Mission of JWCH Institute is to improve the health status and well-being of under-served segments of the population of Los Angeles area through the direct provision or coordination of health care, health education, services, and research.

Position Purpose :

Review encounters for all payers’ sources and maintain no more than 1% errors. Initiate investigation and correction for all discrepancies found in the encounters.

Maximize the revenue following the individual payer guide lines. Initiate and investigate cover and non-cover services from all payer types.

Provide weekly updates to the billing supervisor of all discrepancies found on the encounters. Review all accounts for potential re- bills, adjustments and write offs.

Maintain payment posting up to date to better track the unpaid charges.

Principal Responsibilities :

• Review all encounters for discrepancies on a timely manner to avoid submitting encounters with error to the various insurances.
• Generate encounters verification forms for each date of service and submit weekly.
• Enter and retrieve patients’ Medical data in the patient management system, update information as necessary.
• Consult with administrators, as necessary to resolve eligibility, documentation, coding, procedures and diagnoses issues.
• Post payments for the various payers, run the payments entered report to support the payments posted.
• Review and track payments of all submitted charges / claims, reconcile visits and apply appropriate contractual adjustments and write offs.
• Weekly encounters error report.
• Other duties as assigned.

Requirements :

• Must possess a Billing Certificate and High school Diploma or equivalent.
• Must have at least 1 year of Medical billing and collection experience in a Medical office setting.
• Experience with Medicare, Medi-cal, Cross over insurances, HMO, County and Sliding Fee Discount billing and collection.
• Typing and computer proficiency skills.
• Ability to communicate effectively verbal and written; work without close supervision.
• Detail oriented, well organized and the ability to work in a team oriented environment and under deadlines.
• Flexible with schedule, willing to travel to multiple sites as needed.

Preferred :

• Bi- lingual Spanish and English.
• Microsoft Excel experience.
• JWCH requires employees to be vaccinated with exceptions only as required by law (i.e. medical or religion) .

Employee Benefits : JWCH Institute, Inc., offers competitive salaries for all positions. Employees working 30 hours per week or more are provided a monthly allowance which can be used towards medical, dental, vision, and life insurance premiums.

The agency offers sick leave and vacation accrual, 11 paid holidays, jury duty pay, mileage reimbursement, employee parking, direct deposit, credit union, and an employee assistance program.

In addition JWCH offers a 401(k) Profit Sharing plan to employees who work a minimum of 1,000 hours per fiscal year.

Wesley Health Centers, JWCH Institute is an equal opportunity employer.