Patient Biller III

JOB DUTIES

Description

Venice Family Clinic is a leader in providing comprehensive, high-quality primary health care to people in need with compassion, dignity and respect.

In November 2021, Venice Family Clinic merged with South Bay Family Health Care, uniting more than a century of experience helping patients regardless of their income, insurance or immigration status.

The organization now has more than 500 staff who serve 45,000 people from the Santa Monica Mountains through the South Bay.

We have 17 locations plus two mobile clinics and an expansive street medicine program for people experiencing homelessness.

Read more about us at : venicefamilyclinic.org Come join our Venice Family Clinic as a Patient Biller 3. Under the supervision of the Revenue Cycle Manager, this role will :

• Be responsible for Third party billing including local contracts / programs and grants.
• Manage a billing portfolio, respond to correspondence, and continuously work with the Front Desk, Coordinators, site managers and Medical staff to ensure completion of encounters.
• Ensure correct and timely reimbursement.
• Perform follow-up and collection of claims submitted.
• Complete and reconcile payments and make notations of any discrepancies.
• Assist in ensuring the logs such as payment / collections / progress are completed.
• Utilize and develop audit tools to ensure the integrity of system data.
• Follow the Billing Policies and Procedures, and perform all other duties as assigned by management. Diversity, Equity, and Inclusion are core values of the Venice Family Clinic.

We believe the professional and clinical environments are enhanced when diverse groups of people with diverse ideas come together.

Salary range : $26.85- $35.41 Hourly

JOB QUALIFICATIONS

Qualifications

Required :

• Knowledge of State and Federal programs to ensure reimbursement from the State & Local contracts / programs and grants.
• Knowledge of HIPAA guidelines, and knowledge of health plan benefits to understand medical terminology and provider reimbursement methodologies.
• Detail knowledge and understanding of the ICD-10 CM coding, and CPT coding classification.
• Working knowledge in the insurance verification process to determine benefit eligibility and interpretation of coverage.
• Experience and accuracy with 10 key.
• Strong analytical skills and ability to analyze problems, formulate plans, solutions and a course of action.
• Ability to scrutinize insurance data independently and evaluate information for clarity, accuracy and completeness.
• Ability to work as part of a team, establish and maintain professional relationships with physicians, staff and co-workers.
• Ability to set own priorities, work independently, plan, initiates, organize, and prioritizes assignments.
• Ability to establish and maintain an organized filing system. Preferred : Computer literate with emphasis in applications such as Microsoft Word, Excel, Outlook (calendaring) and Managed Care software.
30+ days ago