This position performs highly technical and specialized functions for the outpatient clinics. The employee works with billing, revenue cycle and accounting entities and team members to ensure billing and collections for outstanding patient accounts and account receivables is within the clinic budget target.
Routinely review and audit clinic billing / collections with the third party billing entities and clinic operations team to ensure timely billing and maximize collections according to insurance contracts, and proactively identify risks and problems impacting clinic cash flow.
Review, analyze and codes clinic diagnostic and procedural information that determines Medicare, MediCal, HMO, and Private insurance payments.
Implement actions to improve billing / collections processes, charge capture and optimize reimbursement. Monitor and log daily cash and check deposit (co- pay, checks, e deposition) and upload / scan EFT deposits to the billing companies.
Document and track monthly Capitation, FFS and physician collection logs. Post daily billing bathes / claim encounters and maintain internal control for timely billing and collections.
Assist in accounting team to complete monthly AP in a timely manner. Review, code and process AP Invoices, and maintain and reconcile daily petty cash logs.
Post daily billing batches / claim encounters and maintain internal control for timely billing and collections. Workers Comp, including Invoice billing.
Urgent Care billing Assist in accounting team to complete monthly AP in a timely manner. Review, code and process AP Invoices, and maintain and reconcile daily petty cash log.
Process patient payments and communicate such via email and / or through patient letters. Complete routine / weekly check run at Corporate when needed Other Clinic operations administrative duties and projects assigned, such as cross covering Administrative assistance duties during absences and / or when needed.
One to two (1-2) years of Clinic billing / collections experiences required. Understands and remains updated with current coding and billing regulations and compliance requirements.
Good computer skills with demonstrated proficiency in Microsoft Office applications. Good computer skills with demonstrated proficiency in Microsoft Office applications.
Detail oriented with good analytical and organizational table in a fast-paced environment with the ability to multitask concurrent priorities in an organized oral and written communication skills with the ability to communicate with all levels of gness to address issues and take ownership, knowing when and how to escalate l Billing certificates School Diploma or GEDMedical Billing certificates preferred.
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