Data and Billing Coordinator - Pediatric Clinic

Centinela Hospital Medical Center; Lynwood (CA); On-site; USD 34,000 - 48,000; Full time

Job summary

St. Francis Medical Center in Los Angeles is seeking a Billing Coordinator to manage internal billing claims and insurance data, verify eligibility, and prepare reports for the Department Director. The role includes coordinating electronic submissions via EDI and liaising with LAC-DMH and Medi-Cal.

Training and support for the HER system are part of the duties. Per Diem employment with daytime shifts is offered, with compensation details provided during hire.

Qualifications

• Bachelor’s Degree in Computer Science or related field.
• Experience with Electronic Health Record (HER) systems.
• Working knowledge of Medi-Cal and/or third-party billing and reimbursement.
• Knowledge of billing requirements and collection regulations for Federal, State, and local agencies and third-party submissions.

Responsibilities

• Gather, review, and approve internal billing claims.
• Set up, verify, and update insurance account information.
• Verify eligibility and prepare related billing claims data reports.
• Coordinate Medical billing claims submission via electronic data interface (EDI).
• Liaise with LA County- Dept. of Mental Health (LAC-DMH) and Medi-Cal.
• Track and monitor billing claims and provide monthly analysis to Department Director.
• Coordinate activities related to Electronic Health care (HER) application, including user training and reports.

Education

Bachelor’s Degree in Computer Science or related field

Job description

Overview

St. Francis Medical Center is one of the leading comprehensive healthcare institutions in Los Angeles. St. Francis provides vital healthcare services for the 700,000 adults and 300,000 children in our community who count on the hospital for high quality and compassionate medical care. St. Francis is recognized for its full range of diagnostic and treatment services in specialties including Cardiovascular, Surgical, Orthopedics, Obstetrics, Pediatrics, Behavioral Health, and Emergency and Trauma Care. In addition, the hospital offers a broad array of education and outreach programs that advance community health. St. Francis Medical Center is a Comprehensive Stroke Center, STEMI Receiving Center, ED Approved for Pediatrics, Geriatric ED, Level III Neonatal ICU, and Level II Trauma Center. Please visit www.stfrancismedicalcenter.com for more information. Join an award-winning team of dedicated professionals committed to compassion, quality, and service!

Responsibilities

The Coordinator is responsible for gathering, reviewing, and approving internal billing claims; setup, verification and updating insurance account information; verifying eligibility; preparing related billing claims data reports; coordinates Medical billing claims submission via electronic data interface (EDI); functions as liaison with LA County- Dept. of Mental Health (LAC-DMH) and Medi-Cal; tracks and monitors billing claims and approval; provides monthly report analysis to Department Director assists in preparation for year-end final reports. Responsible for coordinating activities related to Electronic Health care (HER) application including user training, maintenance, application enhancement, develops new reports, and problem solving; functions as liaison with software vendor and lead trainer.

Qualifications

Education and Work Experience

Bachelor’s Degree in Computer Science or related filed.

Experience with Electronic Health Record (HER) systems.

Working knowledge of Medi-Cal and/or third-party billing and reimbursement.

Knowledge of billing requirements and collection regulations for Federal, State, and local agencies and third-party submissions.

Pay Transparency

St. Francis Medical Center offers competitive compensation and a reasonable compensation estimate for this role is $29.96. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.

Employment Status

Per Diem

Shift

Days

Equal Employment Opportunity

Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC_KnowYourRights_screen_reader_10_20.pdf

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