Biller I

Health & Life Organisation Inc; Sacramento, Northern (CA, KY); Hybrid; USD 42,000 - 60,000; Full time

Benefits offered by this job

401K and Profit Sharing

Paid Time off and Paid Sick Leave

Six Paid Holidays

Short-Term and Long-Term Disability

Legal and Identity Shield

Job summary

Health & Life Organisation Inc is seeking a Biller under the Billing Manager to complete, correct, and process healthcare claims to high data quality and regulatory standards, including HIPAA.

The role involves reviewing bills, submitting claims to multiple payer sources, updating EMR systems, and supporting ongoing billing process improvements in a healthcare setting.

Qualifications

• High School Diploma or equivalent required.
• Certificate in Billing and Coding or equivalent preferred.
• 1 year of billing and/or coding experience preferred.

Responsibilities

• Review patient bills for accuracy and completeness.
• Process and send claims for CHDP, Medi-Cal, CPSP, HMO, Medicare and other funding sources.
• Update EMR with billing information as directed by Billing Manager.
• Assist in improving billing processes and procedures.
• Order forms for the department as needed.
• Post fees to ledgers and post payments from insurances.

Skills

Office Suite

Communication

Teamwork

Attention to detail

Time management

HIPAA compliance

EMR navigation

Education

High School Diploma or equivalent

Billing and Coding program certificate or equivalent

Tools

IMS

EPIC

Dentrix

Job description

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

Listed below you will find essential duties and responsibilities to successfully perform this job. Reasonable accommodation will be granted, as necessary, to perform the essential duties and function of this position.

• 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 Managers order.
• Assist in the process and procedures to improve the billing system.
• Order necessary forms for the department if needed under the Billing Managers order.
• Post fees to control sheets and patient ledgers.
• Post Payments receive from Insurances.
• Performs other duties as assigned by Billing Manager

Qualifications

The requirements listed below are representative of the knowledge, skill, and/or ability required for this position.

Certification & Experience

• 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 profession manner
• Ability to cooperative and collaborate with a team of healthcare professional 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 include but not limited to safety, employment and care services.

Physical Demands & 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.

A comprehensive benefit package for eligible employees and their eligible dependents as follows:

• 401(K) and Profit Sharing
• Paid Time off and Paid Sick Leave
• Six Paid Holidays
• Short-Term and Long-Term Disability
• Legal and Identity Shield

This position primarily works in a healthcare setting that may include medical, dental, behavioral health, and administrative environments. Employees may be exposed to communicable diseases, bloodborne pathogens, bodily fluids, medical equipment, cleaning agents, and other conditions commonly associated with healthcare operations. Employees are expected to follow all infection prevention and control procedures, safety protocols, and use required personal protective equipment (PPE).

At-Will & EEO Disclaimer

Employment with the organization is at will and may be terminated by either the employee or the organization at any time, with or without cause or advance notice, subject to applicable federal, state, and local laws. Nothing contained in this job description shall be construed as creating an employment contract, expressed or implied.

The organization is an Equal Opportunity Employer and is committed to providing a workplace free from discrimination, harassment, and retaliation. Employment decisions are made without regard to race, color, national origin, ancestry, age, disability, sex, gender identity, gender expression, sexual orientation, religion, marital status, veteran status, genetic information, or any other protected status under applicable law.