Hospital Billing Specialist

Pacific Medical, Inc.; Tracy (CA); On-site; USD 35,000 - 48,000; Full time

Benefits offered by this job

Medical, Dental, Vision

Life insurance - employee

Voluntary benefits

Medical FSA

Dependent FSA

HSA

401k

Financial Wellness planning

Job summary

Pacific Medical, Inc. in Tracy, CA is seeking a full-time Hospital Billing Specialist. The role runs Monday–Friday, 8:00 AM–5:00 PM, and involves processing orders and billing for hospital facilities and clinics, including product replacements and contract pricing management.

The position requires basic Excel and MS Office skills, and offers standard full-time benefits. Abundant overtime is noted as available.

Qualifications

• High School Diploma or Equivalent is required or implied.
• 1 year of Excel experience preferred.
• Microsoft Office experience preferred.

Responsibilities

• Process orders for hospital facilities.
• Process product replacement for hospital facilities.
• Maintain coming bill back requests per facility.
• Review incoming paperwork for accuracy and department compliance.
• Compile monthly spreadsheets utilizing Microsoft Excel for each direct bill hospital.
• Verify/update bill back pricing as needed.
• Ensure requested bill backs are according to a contract agreement.
• Submit/Maintain purchase orders from hospital accounting departments for invoicing.
• Bill each hospital in accordance with the formulary.
• Process canceled files for bill back to contracted facilities.
• Prepare service invoices and invoicing inpatient Orthotic and Prosthetic services within time constraints and pricing per facility contract.
• Maintain Buyout credits towards monthly bill backs.
• Maintain hospital bill back procedure for each facility.
• Assisting in updating contract pricing spreadsheets as needed.
• Works with Hospital Partnership Director to train the field on internal hospital process.
• Identify and communicate issues within the hospitals for successful resolution.
• Complete miscellaneous tasks and projects as assigned.

Education

High School Diploma or Equivalent

Tools

Microsoft Excel

Microsoft Office

Job description

Established in 1987, Pacific Medical, Inc. is a distributor of durable medical equipment; specializing in orthopedic rehabilitation, arthroscopic surgery, sports medicine, prosthetics, and orthotics. With the heart of the company dedicated to helping and serving others, we provide our services directly to the patient, medical networks, physician clinics, and offices. We are dedicated to the advancement of patient care through excellent service and product technology.

We have an immediate opportunity to join our company. We are currently seeking a full-time (M-F 8:00AM-5:00PM) Hospital Billing Specialist in our Tracy office. This individual shall process purchase orders for hospital facilities/clinics and replace product for hospital facilities/clinics.

Job Responsibilities

• Process orders for hospital facilities.
• Process product replacement for hospital facilities.
• Maintaining coming bill back requests per facility.
• Review incoming paperwork for accuracy and department compliance.
• Compile monthly spreadsheets utilizing Microsoft Excel for each direct bill hospital
• Verify/update bill back pricing as needed
• Ensure requested bill backs are according to a contract agreement
• Submit/Maintain purchase orders from hospital accounting departments for invoicing
• Bill each hospital in accordance with the formulary
• Process canceled files for bill back to contracted facilities
• Prepare service invoices and invoicing inpatient Orthotic and Prosthetic services within time constraints and pricing per facility contract.
• Maintain Buyout credits towards monthly bill backs
• Maintain hospital bill back procedure for each facility
• Assisting in updating contract pricing spreadsheets as needed
• Works with Hospital Partnership Director to train the field on internal hospital process
• Identify and communicate issues within the hospitals for successful resolution
• Complete miscellaneous tasks and projects as assigned

Job Requirements

• High School Diploma or Equivalent
• 1 year of Excel experience preferred
• Microsoft office experience preferred

Hourly Rate of Pay

• $17.00 - $23.00
• - Annual Range ($35,360.00 – $47,840.00 )

Note: Abundance of O/T Available

Bonus Opportunity

• Individual Bonus: $0 to $750 per month (increases hourly rate up to $4.33 per hour or up to $9,000 annually)
• Profit Bonus: $0 to $500 per month (increases hourly rate up to $2.88per hour or up $6k per year)

All Full-Time positions offer the following

• Medical, Dental, Vision, ER paid Life for Employee, Voluntary benefits, Medical FSA, Dependent FSA, HSA, 401k, and Financial Wellness planning.

Holidays

• 10 paid holidays per year

Vacation Benefit

• At completion of 3-month introductory period, vacation accrual up to an annual max of 40 hours in the first 23 months, at 24 months, accrual up to an annual max of 80 hours with a rollover balance.

Sick Benefit

• Sick accrual begins upon date of hire up to a max annual accrual of 80 hours with a max usage of 48 hours annually with a rollover balance.