INSURANCE BILLER

American Advanced Management; Stockton (CA); On-site; USD 31,684 - 35,817; Full time

Job summary

American Advanced Management is seeking a full-time Hospital Billing Specialist in Stockton, CA to ensure timely billing submissions to insurance and accurate patient accounts. The role requires strong communication, attention to detail, and independence in a union hospital setting.

Responsibilities include reviewing accounts, resolving discrepancies, and maintaining HIPAA compliance while supporting a courteous, professional billing department during day shifts.

Qualifications

• High school diploma or equivalent; business courses preferred.
• Six months hospital billing experience preferred.
• Strong verbal and written communication skills.
• Knowledge of UB92/UB04 billing elements.
• Proficient with Microsoft Word.
• Reliable and able to work independently.

Responsibilities

• Review discharged patient accounts for accuracy and completeness.
• Submit billings to insurance promptly and correctly.
• Identify and resolve billing discrepancies in a timely manner.
• Follow up on outstanding accounts to minimize past-due balances.
• Answer inquiries from patients, insurers, and other parties regarding charges.
• Maintain HIPAA compliance and confidentiality.
• Attend department meetings and training to stay updated.

Skills

Verbal communication

Written communication

Organizational skills

Billing codes UB92/UB04

Microsoft Word

Bookkeeping

Customer service

Education

High school diploma or equivalent with emphasis on business courses preferred

Job description

Job Details

Job Location: Stockton, CA 95203

Position Type: Full Time

Salary Range: $23.00 - $26.08 Hourly

Job Shift: Day

POSITION SUMMARY

Responsibilities include but are not limited to: Timely and accurate submission of billings and subsequent resolution of accounts as assigned. Ensures billing submissions are in compliance with Hospital billing policies and with the rules and regulations of other payer contracts and agreements. Reviews patient accounts in a timely manner and ensures their accuracy and completeness. Determines appropriate billing distributions and processes statements. Regularly monitors and follows‑up on outstanding accounts in a timely manner. Receives and answers billing related inquiries. Maintains a current understanding of billing and collection policies and procedures. Maintain strict patient confidentiality at all times; adheres to the Hospital's HIPAA policies and procedures. Must be able to perform jobs in all patient care and operational areas subject to reasonable accommodations, also be able to employ all mandatory safety devices and procedures. Will be responsible for other duties as assigned. This is a union position.

ESSENTIAL JOB FUNCTIONS

• Review patient account files received for discharged patients in a timely manner and ensure the accuracy and completeness of all accounts.
• Identify and resolve billing discrepancies in a timely and professional manner.
• Identify portion of charges to be billed to patients’ insurance companies or other third parties, and those to be charged to patients directly.
• Responsible for timely and accurate submission of billings to insurance companies.
• Monitor the status of outstanding accounts in a thorough manner and identifies those past due in a timely manner.
• Immediately alert the department's Director or Supervisor when a problem has been identified so that all reasonable and necessary steps to correct the problem and prevent its recurrence are taken.
• Receive and answer inquiries from patients, insurance companies and other parties regarding charges and/or billing discrepancies.
• Provide accurate information assistance to the Cashier, Collector and other appropriate hospital personnel regarding patient account charges, billing issues and related matters in a timely and courteous manner.
• Respond to request from insurance companies for billing related information in a timely and courteous manner.
• Demonstrate good verbal and written communication skills, documents and reports clearly and concisely.
• Handle telephone information requests with courtesy, accuracy, and respect for confidentiality.
• Obtain and analyze all pertinent information available in order to make the most informed decision based on factual and objective data; never makes a hasty decision.
• Follow up on inquiries regarding account charges and related discrepancies in a timely manner.
• Provide appropriate information on findings to patients, guarantors, insurance companies and/or appropriate hospital personnel.
• Demonstrate a thorough knowledge and understanding of billing policies and procedures in performing job duties and instructing patients and hospital personnel.
• Regularly attend department meetings and in-service training programs to remain aware of pertinent developments and/or changes in billing/collection, discharge and related policies, procedures and systems.
• Regularly review memos, newsletters, bulletins and other publications to remain aware of pertinent developments and/or changes in billing/collection, discharge and related policies, procedures and systems.
• Perform job duties in an independent manner with minimal direct supervision required.
• Maintain strict patient confidentiality at all times; adheres to the Hospital's HIPAA policies and procedures.
• Review and complete billing activity reports.
• Demonstrate a thorough knowledge and understanding of Patient Accounting policies and procedures in performing job duties.
• Demonstrate good verbal and written communication skills, documents and reports clearly and concisely.
• Demonstrate willingness to assist co-workers in the completion of daily tasks or special projects to support the department’s efficiency.
• Strive to be an effective and productive member of the Patient Accounting Department.
• Inspire confidence from co-workers, superiors, physicians’ office staff and patients by performing and communicating in a highly professional manner at all times.
• Comply with lunch and break time allowances in accordance with hospital policy and departmental staffing needs.
• Utilize available work time to complete all required tasks within established time frames or schedules without sacrificing quality.

NON-ESSENTIAL JOB FUNCTIONS

• Willingly performs other duties as assigned or requested.

FTE

1.0 - DAYS (08:00AM - 16:30PM)

HOLIDAY PATTERN

B

Qualifications Education

High school graduate or equivalent with emphasis on business courses preferred.

Experience

Minimum of six (6) months hospital billing experience preferred.

Position Requirements

• Candidate must possess strong verbal, written and organizational skills.
• Requires knowledge of UB92/UB04 billing elements, ICD9 and CPT coding and hands‑on working knowledge of personal computers, copiers and fax machines.
• Must have operational knowledge of Microsoft Word and possess good bookkeeping skills.
• Candidate should be highly motivated, possess strong customer service orientation and perform essential job functions in an independent manner with minimal direct supervision.
• Must be willing to assist in other areas as needed.
• Must be dependable.

Licenses/Certificates

None