Strategic Billing & Revenue Cycle Specialist

Tiburcio Vasquez Health Center

Union City (CA)

On-site

USD 35,817 - 39,950

Full time

14 days+

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Benefits offered by this job

Medical benefits

Dental

Vision

Paid leave

Flexible Spending Accounts

Retirement plan with Employer match

Tuition reimbursement

Monthly treats

Pet insurance

Job summary

Tiburcio Vasquez Health Center in Union City, CA, is seeking a Billing Representative to manage the full cycle of third-party and self-pay billing across our network. Under supervision of Billing/Revenue Cycle leadership, you will support Medicare, Medi-Cal, private insurers, and other payers.

This full-time position emphasizes accuracy, timely submissions, denials management, and follow-up on outstanding receivables, with collaboration across providers, front desk staff, Finance, and IT teams.

Qualifications

Minimum two years of medical practice billing experience.
Associate degree strongly preferred.
Bilingual in English and Spanish required.
Experience with Epic electronic billing and EHR systems in an FQHC environment.
At least one year of accounts receivable experience.

Responsibilities

Establishes, maintains, and updates patient accounts in accordance with TVHC policies and procedures.
Works collaboratively with the Finance and Accounting Department to maximize reimbursement under all accepted insurance plans and self-pay arrangements.
Performs timely follow-up on denied Remittance Advice/Explanation of Benefits (RA/EOB) for all insurance claims.
Develops well-supported, patient-specific appeal documentation for payers when appeals are warranted, including medical necessity and prior authorization denials.
Communicate regularly with management and operational staff to support smooth, efficient workflows across health center locations.
Maintains current knowledge of billing practices, procedure codes, and payer requirements, and escalates compliance, red-flag activity, and fiscal concerns to appropriate leadership.
Monitors workflow across multiple sites to ensure timely billing cycles, consistent monthly submissions, and a high standard of accuracy.
Maintains the highest level of confidentiality to safeguard patient information and records.
Provides excellent customer service to patients and applies a solutions-focused approach to billing-related concerns and complaints.
Supports the integrity of patient account records and related system documentation.
Demonstrates the ability to meet or exceed TVHC’s Service Excellence Standards.
Performs other duties as assigned.