BILLING CLERK (Dental)

Ravenswood Family Health Center; Redwood City (CA); On-site; USD 33,000 - 50,000; Full time

Job summary

Ravenswood Family Health Network in Redwood City seeks a Billing Clerk I to prepare and submit billing for all payors, including self-pay and public programs. You will review encounter forms, post payments, and follow up on unpaid accounts.

This entry-level role emphasizes accuracy, compliance with CDA/ICD-10 coding, and collaboration with the billing team. BLS certification preferred; bilingual Spanish is not required but helpful; on-site work with competitive hourly pay.

Qualifications

• High school diploma or equivalent (GED) required with one year of billing experience in a health care organization.
• Knowledge of CDA and ICD-10 coding and billing requirements for public programs and third-party payers.
• Ability to examine documents for accuracy and completeness.
• Ability to communicate clearly.
• Familiar with data entry, calculator use, and Excel spreadsheets.

Responsibilities

• Reviews encounter forms for accuracy and completeness to ensure billable encounters.
• Processes billing for services to all payors including electronic claims and UB-92/HCFA-1500 forms.
• Posts payments and reconciles remittance advices to ensure cash flow.
• Researches denials and rebills to secure prompt payment.
• Follows up on outstanding patient balances and sets up payment arrangements as needed.

Skills

Billing knowledge

Attention to detail

Communication skills

Excel skills

Spanish language skills

Education

High school diploma or GED

Tools

Microsoft Excel

Job description

ORGANIZATIONThe mission of Ravenswood Family Health Network (RFHN) is to improve the health of the community by providing culturally sensitive, integrated primary and preventative health care to all, regardless of ability to pay or immigration status, and collaborating with community partners to address the social determinants of health.POSITION SUMMARYResponsible for the preparation and submission of billing for all payors including self-pay patients, public programs, and private third-party insurance. Conducts accounts receivable review and follow-up on all unpaid accounts to ensure prompt payment and performs other duties as required.The Billing Clerk I is distinguished from the Billing Clerk II, in that the Billing Clerk I is an entry level training position. There are no requirements of previous experience in addition to the minimum qualifications of one year of billing experience in a healthcare organization. The Billing Clerk II, however, requires at least three years prior experience as a biller or billing specialist in a dentist's office or community clinic with progressively increased responsibilities in addition to the minimum requirements.DUTIES AND RESPONSIBILITIESTo be performed in accordance with RFHN Policies and ProceduresReviews encounter forms for accuracy and completeness (dx codes/CDT codes) to ensure that the encounter is accurate and billable. Returns incomplete encounters to the provider for correction.Reviews batches of charges entered for errors prior to posting.Processes billing for services to all payors including submission of electronic claims for public programs, hard copy claims on HCFA 1500's and UB 92's for private insurance, and hard copy statements for self-pay patients.Maintains all backup of original documentation including encounter forms, copies of hardcopy statements, and correspondence available for audit, upon request.Receives remittance advices for third party billing, sends check to accounting for deposit, reconciles remittance advices and posts payments in a timely manner to ensure cash flow.Researches denials, unpaid or partially paid claims, and rebills daily to insure prompt payment.Follows up one outstanding patient balances for any retro rebilling and calls patients to collect if no insurance available.Attends training seminars sponsored by the State or other payers to keep up-to-date on billing and eligibility issues.Maintains all billing manuals up-to-date by deleting outdated information and inserted new advice notices as they arrive.Handles calls regarding patient accounts and billing questions.Develops payment agreements with patients with the approval of the Director of Billing Cycle. Uses templates and work-flow documentation tools effectively to ensure that encounters are completely documented as well as enabling the collection of data for statistical reports.QUALIFICATIONSHigh school diploma or equivalent (GED) required with one year of billing experience in a health care organization.Basic Life Support (BLS) certificate required.Knowledge of billing practices as well as clinic policies and procedures.Knowledge of CDA and ICD-10 coding and billing requirements for public programs and third-party payers.Knowledge of specialist billing in dental.Understanding of special billing modifiers.Familiar with data entry, use of a calculator, and software to create spread sheets such as Microsoft Excel.Bilingual Spanish language skills: Not required, but highly preferred to facilitate communication with patients and employees.Ability to work effectively and cooperatively with other RFHN staff and patients.Ability to examine documents for accuracy and completeness.Ability to communicate clearly.Ability to prepare records in accordance with detailed instructions.Up to date with COVID-19 vaccines per current CDC guidelines strongly recommended.The pay range for this position is $24.00 to $36.00 per hour. However, the final base pay will be determined upon a number of individualized factors such as (but not limited to) the scope and responsibilities of the position, job-related knowledge, skills, experience, education and certification levels, and departmental budget. We also consider internal equity with our current employees when making final offers.Ravenswood Family Health Network is an equal opportunity employer.