Biller I

Health And Life Organization; Sacramento (CA); On-site; USD 29,549 - 42,085; Full time

Job summary

Health And Life Organization in Sacramento is seeking a Biller for full-time employment. The role involves processing and correcting claims as per regulatory standards and performing various billing duties assigned by the Billing Manager.

The ideal candidate should have a high school diploma or equivalent, and a certificate in billing and coding is preferred. Strong communication skills and the ability to work in a fast-paced environment are essential.

Qualifications

• High School Diploma OR equivalent.
• Certificate of completion for an accredited Billing and Coding program OR equivalent.
• One year of experience in billing and/or coding or clinical setting preferred.

Responsibilities

• Review patient bills for accuracy and completeness.
• Process claims for multiple funding sources.
• Update EMR with billing information as directed.

Skills

Professional manner

Collaboration

Word processing

Excel proficiency

Problem-solving

Communication skills

Customer service

Education

High School Diploma or equivalent

Certificate in Billing and Coding

Tools

Electronic Health Record Systems

Microsoft Office Suite

Job description

Job Details

Job Location: Sacramento, CA 95827

Position Type: Full Time

Education Level: High School

Salary Range: $26.00 - $26.00 Hourly

Travel Percentage: None

Job Shift: Day

Job Category: Medical

POSITION SUMMARY

Under the general direction of the Billing Manager, the Biller is responsible for completing, correcting, and processing claims to the highest quality of data according to all regulatory standards (including HIPAA) and in a timely manner. The Biller is to fix all errors such as missing CPT, CDT and ICD-9 codes, ICD-10, HCPCS and be in compliance with FQHC Billing. The Biller may also be required to perform other clerical and billing duties as assigned by the Billing Manager.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Review patient bills for accuracy data, completeness, and make corrections as needed.
• Process and send claims for CHDP, Medi-Cal, CPSP, HMO (Manage care), Medicare, Liberty, Healthnet, Access Dental and other funding sources.
• Update EMR with billing information under the Billing Manager's order.
• Assist in the process and procedures to improve the billing system.
• Order necessary forms for the department if needed under the Billing Manager's order.
• Post fees to control sheets and patient ledgers.
• Post Payments received from Insurances.
• Perform other duties as assigned by Billing Manager.

Qualifications

EDUCATION, EXPERIENCE & CERTIFICATION

• High School Diploma OR equivalent
• Certificate of completion for an accredited Billing and Coding program OR Certified Code Certificate OR equivalent
• One year of experience in billing and/or coding OR one year experience in a clinical setting preferred

SKILLS & KNOWLEDGE

• Ability to conduct oneself in a professional manner
• Ability to cooperate and collaborate with a team of healthcare professionals to provide non-discriminatory care to underserved patient populations
• Ability to use Word, Excel, Power point, and Outlook
• Ability to learn and use Electronic Health Record Systems (e.g., IMS, EPIC and Dentrix).
• Ability to manage multiple tasks in a high volume environment.
• Ability to prioritize and perform a variety of tasks in a fast paced environment.
• Ability to take initiative and function with a high level of independence and problem solve.
• Ability to maintain a good attendance and report to work on time
• Ability to effectively communicate (oral and written)
• Ability to provide good customer/patient services
• Ability to adhere to the health center’s policies and procedures including but not limited to safety, employment and care services.

PHYSICAL DEMANDS AND WORK ENVIRONMENT

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is frequently required to sit, use hands to handle or feel. The employee is also required to stand, walk, and reach with hands and arms. The employee must occasionally lift and/or move up to 20 pounds. Specific vision abilities required by this job include close vision, distance vision, and the ability to adjust focus. The employee must also possess hearing and speech to communicate in person and over the phone. The noise level in the work environment is usually noisy.