REVENUE CYCLE BILLER AND COLLECTION SPECIALIST

Description

REVENUE CYCLE BILLER AND COLLECTION SPECIALIST JOB SUMMARY

Performs highly technical and specialized functions for Comprehensive Community Health Centers. Responsible for taking the data provided by the medical coders and using it to compile and submit claims to insurance companies and then subsequently bill patients, research, resolve, and collect on all unpaid accounts 

REVENUE CYCLE BILLER AND COLLECTION SPECIALIST ESSENTIAL DUTIES AND RESPONSIBILITIES

• Utilize coded data to produce and submit claims to insurance companies, ensuring prompt reimbursement.
• Verify the accuracy of billing data and correct any errors.
• Prepare the necessary claims documents required by each insurer.
• Post various health service charges to patients' accounts daily, according to each payer.
• Conduct the daily closure and reconciliation of posted accounts.
• Prepare and submit billing or rebilling as required.
• Maintain and prepare a daily productivity report.
• Enter on a timely basis all charges, payments, credits, and adjustments by payer.
• Respond to inquiries from patients, clerical staff, and insurance companies.
• Identify and resolve patient billing complaints
• Prepare, review and send patient statements
• Maintain strictest confidentiality; adhering to all HIPAA guidelines/regulations
• Maintain work operations by following policies and procedures; reporting compliance issues
• Collect delinquent accounts by establishing payment arrangements with patients and also follow up with patients when payment lapses occur
• Provide customer service regarding collection issues
• Process customer refunds and review account adjustments
• Resolve client discrepancies and short payments
• Updates accounts receivable system with denial and group information
• Review and appeal unpaid claims
• Manage the Accounts Receivable reports
• All other assignments as directed by the RC Manger/Director

Requirements

REVENUE CYCLE BILLER AND COLLECTION SPECIALIST EDUCATION, TRAINING AND EXPERIENCE

• High school diploma or general education degree (GED) with the one-year experience in handling billing and account receivables in a similar set up or related field
• Knowledge of medical/dental terminology and billing practices
• Knowledge of business office procedures.

REVENUE CYCLE BILLER AND COLLECTION SPECIALIST PAY RATE : $22-$25/hr

REVENUE CYCLE BILLER AND COLLECTION SPECIALIST BENEFITS:

• Medical, Dental and Vision – 100% paid by Employer
• Life Insurance and Accidental Dismemberment – 100% paid by Employer
• Paid Holidays
• Paid Time Off
• 401(k) and 401(k) matching
• Flexible Spending Account
• Fringe
• Supplemental Insurance

We are committed to providing equal employment opportunities to all applicants, including those with arrest or conviction records. In accordance with the ULAC Fair Chance Ordinance, we will not inquire about or consider criminal history until after a candidate has received a copy of their background check report. All applicants will be evaluated based on their qualifications and ability to perform the essential functions of the job. For more information, please refer to LA County Fair Chance Hiring .