Patient Billing & Collections Specialist

El Camino Health; Mountain View (CA); On-site; USD 48,000 - 73,000; Full time

Job summary

El Camino Health is seeking a Billing Clerk to join our Mountain View team. You will handle claims billing, respond to inquiries, process payments, and follow up on denials to ensure timely reimbursement.

The role requires accurate data entry, strong communication, and the ability to multi-task in a fast-paced hospital setting. Join us to support high-quality patient care through precise financial operations.

Qualifications

• High School Diploma or equivalent.
• One year related work experience in a Hospital, Physician, or other healthcare setting.
• Strong verbal and written communication skills.
• Works in a collaborative and team manner.
• Efficient organizational skills and effective reasoning, problem solving and critical thinking skills.
• Excellent typing skills.
• Ability to multi-task and demonstrate effective time management.
• Preferred knowledge and use of Microsoft Products: Outlook, Word & Excel.
• Strong attention to detail.
• Ability to process a high volume of work.

Responsibilities

• Ensures claims are billed timely and accurately using the Hospital Claims Scrubber Tool and billing system.
• Resolves claim edits.
• Collaborates with departments to resolve applicable claim errors.
• Reports all unbilled claim information and issues that may delay billing to Management to ensure there is no adverse effect on Hospital Cash Collections or Accounts Receivable.
• Receives and processes correspondence and phone or online inquiries from patients, payers or any other third party in a timely and professional manner.
• Resolves patient billing inquiries and processes patient payments over the phone or in person.
• Follows up on unpaid and denied claims for account resolution.
• Resolves accounts by contacting managed care entities, other third party payer organizations or patients to facilitate timely payments.
• Performs research and makes determination of appropriate actions for payment resolution.
• Writes and submits appeals for denied claims.
• Keeps informed of managed care and contractual arrangements to resolve accounts by managed care payers.
• Assigns root causes to denials based on research.
• Posts daily cash and adjustments for Hospital and Professional billing.
• Resolves undistributed payments and performs cash reconciliation.
• Reports all payment issues to Management to ensure there is no adverse effect on Hospital Cash Collections or Accounts Receivable.
• Resolves credit balances that are due to patients.
• Audits and reconciles accounts to confirm credit balance and submits refunds in a timely manner.

Skills

Strong verbal and written comm.,

Efficient organizational skills

Time management

Multi-tasking

Teamwork

Typing skills

Education

High School Diploma or equivalent

Tools

Microsoft Office

Job description

El Camino Health is seeking a Billing Clerk to join our Mountain View team. You will handle claims billing, respond to inquiries, process payments, and follow up on denials to ensure timely reimbursement.

The role requires accurate data entry, strong communication, and the ability to multi-task in a fast-paced hospital setting. Join us to support high-quality patient care through precise financial operations.