Billing Rep II

CommonSpirit Health; Rancho Cordova (CA); On-site; USD 65,000 - 78,000; Full time

Job summary

Dignity Health Medical Foundation in California seeks a Billing Rep II to support patients and providers by streamlining billing and insurance processing, enabling focus on care and financial well-being. You will review and process patient accounts, insurance claims, and payments daily, ensure accurate timely billing, follow up on denied claims, and maintain patient confidentiality.

The role requires attention to detail, knowledge of medical billing and coding, and experience with healthcare

Qualifications

• Three years of experience in healthcare Rev Cycle or a professional medical office.
• Knowledge of physician billing regulations.
• Understanding of professional claims and billing procedures.
• Knowledge of Federal and State regulations applicable to Government and Insurance Collections.
• Excellent written and verbal communication skills.
• Proficiency in using e-mail, Internet and MS Office with emphasis in Word and Excel.

Responsibilities

• Review and process patient accounts, insurance claims, and payment postings.
• Ensure accurate and timely billing; follow up on denied claims.
• Maintain patient confidentiality and comply with regulations.
• Interpret invoice details and read EOBs from various carriers.
• Proactively manage caseload and meet deadlines while handling multiple tasks.

Skills

Rev Cycle experience

Physician billing regulations

Claims processing

Communication skills

MS Word & Excel

IDX Practice management

Cerner EHR

Google Suite

Education

Associate degree in Healthcare Administration

Tools

IDX Practice management

Cerner EHR

Google Workspace

Job description

Job Summary and Responsibilities

As our Billing Rep II, you will help our patients and providers streamline the billing and insurance process so they can focus on patient care and financial well-being.

Every day you will review and process patient accounts, insurance claims, and payment postings. You will be expected to ensure accurate and timely billing, follow up on denied claims, and maintain patient confidentiality.

To be successful in this role, you must have strong attention to detail, knowledge of medical billing and coding, and experience with healthcare insurance.

• Demonstrate a solid understanding of your role as an Accounts Receivable Representative II including: Read & interpret invoice details, Patient registration in IDX, Rejection posting in IDX, Knowledge of medical records systems, Ability to navigate Insurance payer web sites, Read & interpret EOB's from various insurance carriers, FSC knowledge, Rules of FSC Flipping, Rules of Charge Corrections, Understanding of claim edits
• Resolve claim edits
• Ability to manage multiple expectations, tasks and deadlines effectively.
• Timely review of electronic communication to stay informed of changes that affect your position.
• Research and analyze account thoroughly to determine appropriate action(s) to be taken.
• Proactively organize and manage case load to ensure follow through on claims that did not reach resolution at time of initial processing.

Job Requirements

Required

• High School Diploma or GED
• Three (3) years experience working in healthcare Rev Cycle or a Professional Medical Office
• Knowledge of physician billing regulations
• Understanding of professional claims and billing procedures
• Knowledge of Federal and State regulations applicable to Government and Insurance Collections
• Excellent written and verbal communication skills
• Working knowledge of computers and demonstrated proficiency in using e-mail systems, Internet and MS office software applications with emphasis in Word and Excel

Preferred

• Associates in Healthcare Administration or related field
• Five (5) years experience working in healthcare Rev Cycle or a Professional Medical Office
• One (1) year experience with IDX Practice management system and Cerner EHR
• Knowledge of Google Suite

Where You'll Work

Dignity Health Medical Foundation, established in 1993, is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is an affiliate of Dignity Health - one of the largest health systems in the nation - with hospitals and care centers in California, Arizona and Nevada. Today, Dignity Health Medical Foundation works hand-in-hand with physicians and providers throughout California to provide comprehensive health care services to the many communities we serve. As Dignity Health Medical Foundation continues to grow and establish new premier care centers, we provide increasing support and investment in the latest technologies, finest physicians and state-of-the-art medical facilities. We strive to create purposeful work settings where staff can provide great care, while advancing in knowledge and experience through challenging work assignments and stimulating relationships. Our staff is well-trained and highly skilled, qualities that are vital to maintaining excellence in care and service.