Billing Administrative Assistant

Neighborhood Healthcare; Escondido (CA); Hybrid; USD 63,039,000 - 84,272,000; Full time

Job summary

Neighborhood Healthcare is seeking a Billing Administrative Assistant to provide organizational and clerical support to the Billing Department. The role ensures calls, records, accounts, and payments are managed efficiently in a hybrid setting with three remote days and two in-office days.

The position requires a high school diploma and preferred medical billing/coding certification, with healthcare experience.

Qualifications

• High school diploma or GED required.
• Completion of a medical billing or coding certificate preferred.
• One year of general clerical experience preferred.

Responsibilities

• Assists with preparation and submission of medical claims to insurance companies.
• Assists with mail distribution, scanning, and printing of primary and secondary claims.
• Assists with the Billing Ticketing Portal.
• Reviews and processes all NHC Pace claims, ensuring that all claims meet proper billing guidelines and obtaining authorization.
• Monitors and follows up on all PACE claims to ensure payment is received and accurate.
• Verifies patient insurance information and eligibility.
• Follows up on unpaid or rejected claims and assists in resubmission.
• Assists with Dental Transformation Initiative (CalAIM) submission.
• Coordinate and schedule department meetings, including preparing agendas and minutes.
• Other duties assigned to meet the billing department’s needs.

Skills

Verbal communication

Written communication

Multitasking

HIPAA compliance

Education

High school diploma or GED

Medical billing or coding certificate

Tools

Medical billing software

Billing Ticketing Portal

Job description

ABOUT US:

Community health is about more than just vaccines and checkups. It’s about giving people the resources they need to live their best lives. At Neighborhood, this is our vision. A community where everyone is healthy and happy. We’re with you every step of the way, with the care you need for each of life’s chapters. At Neighborhood, we are Better Together. As a private, non-profit 501(C) (3) community health organization, we serve over 500,000 medical, dental, and behavioral health visits from more than 100,000 people annually. We do this in pursuit of our mission to improve the health and happiness of the communities we serve by providing quality care to all, regardless of situation or circumstance. We have been doing this since 1969 and it is our employees that make this mission a reality. Regardless of the role, our team focuses on being compassionate, having integrity, being professional, always collaborating, and consistently going above and beyond. If that sounds like an organization you want to be a part of, we would love to have you.

ABOUT US:

Community health is about more than just vaccines and checkups. It’s about giving people the resources they need to live their best lives. At Neighborhood, this is our vision. A community where everyone is healthy and happy. We’re with you every step of the way, with the care you need for each of life’s chapters. At Neighborhood, we are Better Together. As a private, non-profit 501(C) (3) community health organization, we serve over 500,000 medical, dental, and behavioral health visits from more than 100,000 people annually. We do this in pursuit of our mission to improve the health and happiness of the communities we serve by providing quality care to all, regardless of situation or circumstance. We have been doing this since 1969 and it is our employees that make this mission a reality. Regardless of the role, our team focuses on being compassionate, having integrity, being professional, always collaborating, and consistently going above and beyond. If that sounds like an organization you want to be a part of, we would love to have you.

ROLE OVERVIEW and PURPOSE:

The Billing Administrative Assistant provides organizational and clerical support to Neighborhood Healthcare’s Billing Department to maintain effective business office operations. This position involves various functions that ensure phone calls, records, accounts, and payments for services rendered are professionally managed.

• Please note, this is a hybrid position with a typical schedule of 3 remote workdays and 2 in-office workday (Monday through Friday, 8:00 AM – 5:00 PM). Please note that remote work eligibility is based on performance, and on-site requirements may be adjusted accordingly.**

ROLE OVERVIEW and PURPOSE:

The Billing Administrative Assistant provides organizational and clerical support to Neighborhood Healthcare’s Billing Department to maintain effective business office operations. This position involves various functions that ensure phone calls, records, accounts, and payments for services rendered are professionally managed.

• Please note, this is a hybrid position with a typical schedule of 3 remote workdays and 2 in-office workday (Monday through Friday, 8:00 AM – 5:00 PM). Please note that remote work eligibility is based on performance, and on-site requirements may be adjusted accordingly.**

Responsibilities

• Assists with preparation and submission of medical claims to insurance companies
• Assists with mail distribution, scanning, and printing of primary and secondary claims
• Assists with the Billing Ticketing Portal
• Reviews and processes all NHC Pace claims, ensuring that all claims meet proper billing guidelines and obtaining authorization
• Monitors and follows up on all PACE claims to ensure payment is received and accurate
• Verifies patient insurance information and eligibility
• Follows up on unpaid or rejected claims and assists in resubmission
• Assists with Dental Transformation Initiative (CalAIM) submission
• Coordinate and schedule department meetings, including preparing agendas and minutes
• Other duties assigned to meet the billing department’s needs

Education/Experience

• High school/GED required
• One year of general clerical experience preferred
• Completion of a medical billing or coding certificate program preferred
• Experience working in healthcare and/or FQHC community clinic is preferred

ADDITIONAL QUALIFICATIONS (Knowledge, Skills, And Abilities)

• Excellent verbal and written communication skills, including superior composition, typing, and proofreading skills
• Ability to interpret a variety of instructions in written, oral, diagram, or schedule form
• Ability to successfully manage multiple tasks simultaneously
• Strong attention to detail and organizational skills
• Comfortable with computers and willing to learn medical billing software
• Ability to work as part of a team as well as independently
• Maintain confidentiality and adhere to HIPAA regulations

Physical Requirements

• Ability to lift/carry 20lbs/weight
• Ability to stand for extended periods of time

COMPLIANCE (Safety & HIPAA)

• Follows all safety procedures as outlined in Neighborhood Healthcare’s Illness and Injury Prevention Plan (IIPP) and report any injuries and/or unsafe conditions immediately
• Maintains current knowledge of policies and procedures as they relate to safe work practices
• Uses appropriate body mechanics to ensure an injury free environment
• Familiarity with location of nearest fire extinguisher and emergency exits
• Follows all infection control procedures including blood-borne pathogen protocols
• Maintains privacy of all patients, employees and volunteer information and access such information only on a need-to-know basis for business purposes
• Complies with all regulations regarding corporate integrity and security obligations
• Reports all behavior and/or activity that are unethical, fraudulent, or unlawful

Pay range: $22.00 - $29.41 per hour, depending on experience

Compensation Disclosure: The posted salary range reflects the designated pay grade for this position. While this range represents the broader classification of the role, actual compensation will be based on several factors, including but not limited to: the candidate’s overall knowledge, skills, and experience, market data and industry benchmarks, internal equity within the organization, Budgetary considerations and organizational needs. As a result, placement within the range is not guaranteed, and the full pay grade range may not be utilized.