Payment Specialist I

El Proyecto del Barrio, Inc.; California; On-site; USD 36,000 - 52,000; Full time

Job summary

El Proyecto del Barrio, Inc. seeks a billing specialist to post and reconcile received payments, ensuring accuracy across patient accounts. The role requires attention to detail and strong knowledge of medical billing practices in a healthcare setting.

Ideal candidates will have a high school diploma (or equivalent) and at least two years of related experience, with proficiency in CPT/diagnosis coding, Microsoft Office, and billing software. Vaccination proof is required by applicable programs.

Qualifications

• High school diploma or equivalent or related work experience.
• Minimum of 2 years related experience.
• Vaccination proof required by funding sources.

Responsibilities

• Post, balance and reconcile received payments to the correct accounts.
• Scan refund payment copies and verify against patient accounts.
• Request write-off approvals for unpaid claims with no re-bill capability and escalate as needed.
• Identify and resolve payment posting issues.
• Maintain up-to-date knowledge of regulatory requirements and third-party payor reimbursement guidelines.
• Perform other duties as assigned.

Skills

Accounts receivable

Payment processes

CPT coding

Diagnosis coding

Medical terminology

Attention to detail

Professionalism

Microsoft Office

Billing software

Communication skills

Independence

Education

High school diploma or equivalent

Two years related experience

Tools

Microsoft Office

Billing software

Job description

This position will post and reconcile received payments.

ESSENTIAL RESPONSIBILITIES

• Balance, reconcile, and post-received payments to appropriate accounts.
• Scan refund payment copies and check against patient accounts.
• Request approval for write-offs of unpaid claims with no re-bill capabilities, escalating issues as needed.
• Identify and resolve payment posting issues.
• Maintain current knowledge of regulatory requirements and third-party payor reimbursement guidelines.
• Perform other duties as assigned.

Qualifications

KNOWLEDGE / SKILLS / ABILITIES

• Knowledge of accounts receivable and payment processes and procedures.
• Knowledge of medical payment regulatory requirements and best practices.
• Knowledge of Current Procedural Terminology (CPT) coding, diagnosis coding, and medical terminology.
• Good with numbers with an attention to detail and accuracy.
• High level of professionalism and interpersonal skills.
• Strong computer skills in Microsoft Office and billing software.
• Ability to communicate in an articulate, professional manner while maintaining a necessary degree of confidentiality.
• Ability to work independently, meet deadlines, and multi-task while maintaining quality standards.
• Ability to pleasantly and effectively represent the organization.

EDUCATION / EXPERIENCE

• High school diploma or equivalent OR a combination of education and related work experience.
• 2 years of related experience.

CERTIFICATIONS / LICENSURE / LANGUAGE

• Must provide proof of required vaccinations by federal, state, and local funding sources.
• Employees driving personal vehicles for El Proyecto business must provide El Proyecto proof of a valid driving license, and auto liability insurance.
• El Proyecto will reimburse employees for their mileage at the current rate set by the Internal Revenue Service. To receive mileage reimbursement, the employee must log their mileage and submit the mileage expense report to their Appropriate Administrator.

PHYSICAL REQUIREMENTS

• Walking, talking, sitting, bending, stooping, and lifting up to 10 pounds; hand and wrist dexterity to utilize a computer.

- AN EQUAL OPPORTUNITY AND AFFIRMATIVE ACTION EMPLOYER -

About EL PROYECTO DEL BARRIO INC

El Proyecto's 50th Anniversary Celebration

Join us in reliving the last 50 years of our organization's mission to provide health and human services in communities with underserved populations.