Billing Specialist (Certificate Required)

Via Care Community Health Center; Los Angeles (CA); On-site; USD 45,000 - 60,000; Full time

Job summary

Via Care Community Health Center is seeking a Billing Specialist to manage claims, payments, and patient accounts, ensuring accurate and timely reimbursement. You will collaborate with patients, providers, and insurers to resolve billing issues while upholding HIPAA and organizational policies.

Key duties include submitting clean claims electronically or by paper, posting payments, generating patient statements, and assisting with delinquent accounts.

Responsibilities

• Prepares and submits clean claims to insurance companies electronically or on paper.
• Answers questions from patients, staff, and insurers.
• Identifies and resolves patient billing complaints.
• Prepares, reviews, and sends patient statements.
• Evaluates patient’s financial status and sets budget payment plans.
• Follows delinquent account status reporting.
• Reviews accounts for possible assignment and prepares information for the collection agency.
• Performs daily backups on office computer system.
• Performs collection actions including contacting patients by phone.
• Processes payments from insurance companies and prepares a daily deposit.
• Participates in educational activities and attends monthly staff meetings.
• Conducts self in accordance with employee manual.
• Maintains confidentiality; adheres to HIPAA guidelines/regulations.

Job description

Job Summary

The Billing Specialist is responsible for submitting insurance claims, posting payments, and managing patient accounts to ensure accurate and timely reimbursement. This position works with patients, providers, and insurance companies to resolve billing issues, follow up on unpaid claims, and answer billing-related questions. The Billing Specialist maintains accurate records, provides excellent customer service, and ensures compliance with HIPAA and organizational policies.

Essential Functions

The functions performed by employees in this job family will vary by level or the area(s) to which assigned but may include (and not be limited to) the following. Employee must perform all duties and responsibilities in accordance with Via Care’s care standards.

• Prepares and submits clean claims to various insurance companies’ either electronically or by paper.
• Answers questions from patients, clerical staff, and insurance companies.
• Identifies and resolves patient billing complaints.
• Prepares, reviews, and sends patient statements.
• Evaluates patient’s financial status and establishes budget payment plans. Follows and reports status of delinquent accounts.
• Reviews accounts for possible assignment and makes recommendations to the Billing Supervisor, also prepares information for the collection agency.
• Performs daily backups on office computer system.
• Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers.
• Processes payments from insurance companies and prepares a daily deposit.
• Participates in educational activities and attends monthly staff meetings.
• Conducts self in accordance with HPA’s employee manual.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.