Temp - Billing Specialist

PATH (People Assisting The Homeless) (Old); Riverside (CA); On-site; USD 32,000 - 41,000; Full time

Job summary

PATH in Riverside, CA is seeking a Billing Specialist to ensure accurate and timely submission of claims to intermediaries and third-party carriers. The role supports the management team in overseeing billing and cash applications and acts as a liaison between the client and internal departments.

The position requires a high school diploma and at least one year in medical billing; Associate degree or Billing Certificate is preferred.

Qualifications

• High school diploma or equivalent required.
• Minimum of one year of experience in medical billing or related healthcare administrative role.
• Associate's degree or Medical Billing Certificate preferred.

Responsibilities

• Research and resolve eligibility or billing questions promptly.
• Maintain accurate patient referrals payments data.
• Communicate via NextGen for errors and corrections to ensure timely filing of claims.
• Review denied claims and file follow-up / appeals as needed.
• Notify Finance Manager of trends identified.
• Handle inbound calls from patients and staff about services and coverage.
• Assist in maintaining billing policy guidelines and procedures.
• Call payers to determine claim submission processes.
• Generate billing spreadsheets as needed.
• Balance daily cash and maintain reconciliation logs.
• Maintain weekly adjustment logs.
• Forward incorrect payments for follow-up.
• Perform other duties as directed.

Skills

Medical terminology

Typing 45 wpm

Microsoft Office

Customer service

Interpersonal skills

Time management

Education

High school diploma

Medical Billing Certificate preferred

Associate's degree preferred

Tools

NextGen

MS Office

Job description

• Location 7880 Mission Grove Parkway South,Riverside, CA, 92508,United States
• Base Pay $23.11 - $30.05 / Hour
• Employee Type FT Temporary - Non-Exempt
• Required Degree High school
• Manage Others No

Contact information

• Name Amber Travis

Description

JOB SUMMARY:

The Billing Specialist has the responsibility for accurate and timely preparation and submission of all claims (electronic and paper) to intermediaries and third party carriers. This position will assist the management team with oversight of both the billing and cash application processes by serving as a liaison between the client and other departments.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Directly responsible for researching/handling questions regarding any eligibility or billing issues in a professional and timely manner.
• Responsible for keeping accurate information on all patient referrals payments to assure we need to pay them.
• Communicates through Nextgen on any errors or omissions to providers promptly, performs follow up and corrections ensuring timely filing of claims with insurance carriers.
• Responsible for reviewing all denied claims, timely follow up and files appeals on denial determinations as necessary.
• Notifies Finance Manager of any trends identified.
• Manages inbound calls from patients, healthcare center staff, and hospital personnel for inquiries on services provided, financial responsibility and insurance coverage issues.
• Assists with maintaining new and existing billing policy guidelines and documented procedures for medical billing.
• Call payers when necessary to determine how and where to send claims for payment.
• Generate billing spreadsheet when necessary.
• Balance daily cash received and maintain and update the Corporate Reconciling spreadsheet.
• Maintain weekly adjustment logs.
• Recognize and forward all incorrect payments to Finance Manager for follow up.
• Process patient refund requests.
• Perform all other duties as directed either formally or informally, verbally or in writing.

SUPERVISORY RESPONSIBILITIES:

KNOWLEDGE, SKILLS AND ABILITIES:

• Working knowledge of medical terminology.
• Must be able to work independently while utilizing strong critical thinking/time management skills.
• Must be able to type 45 words per minute.
• Strong computer skills, with proficiency in Microsoft Office.
• Must possess good "customer service" including verbal and written communication.
• A high standard of professionalism and professional ethics and conduct is expected in speech, manner, attitude and appearance at all times.
• Possess strong interpersonal skills and ability to work well with others.
• Ability to deal effectively with changing situations and stressful environment.

EXPERIENCE AND EDUCATION:

• High school diploma or equivalent required.
• Minimum of one (1) year of experience in medical billing, medical insurance, healthcare revenue cycle, or a related healthcare administrative role required.
• Associate's degree in a related field and/or Medical Billing Certificate from an accredited institution preferred.