Billing Clerk – Salud Para La Gente (SPLG) – Watsonville, CA

BILLING CLERK

(Non-exempt, Limited Term, Full Time)

Posting date: April 28, 2015 Closing Date: May 8, 2015

Salud Para La Gente (SALUD)provides high quality, comprehensive and cost-effective medical, dental, behavioral health, optometry and other services to underserved, low-income communities in the Monterey Bay area, including Santa Cruz and Monterey Counties. SALUD began in Watsonville in 1978 as a storefront free clinic, and is now a Federally Qualified Health Center. With 4 health center sites, school-based health centers and 240 employees, we provide high quality services to patients of all ages. We offer a competitive salary and benefits package and a collaborative culture that values excellence, achievement, innovation and compassion.

We are seeking an experienced, Billing Clerk to process assigned super bills and perform other billing functions. This position requires the ability to perform detailed work in a consistently accurate and timely manner. The ideal candidate will embrace our mission, vision and values, and demonstrate sound independent judgment and think independently and analytically.

The selected candidate will possess knowledge of basic and computerized accounting procedures, especially relating to billing of health insurances and state programs.

Responsibilities include, but are not limited to, the following:

Processes insurance billing functions with a high degree of accuracy

Enters, reviews, and makes necessary changes to all patient registration information in the practice management system in accordance with established procedures.

Researches and answers any questions regarding account balances, bills, or correspondence on a patient’s account in a timely and professional manner

Reviews patient encounters, corrects errors and prepares batch for electronic submission.

Maintains error log and identifies patterns

Updates required coding changes that may impact payment of a claim in the practice management system

Works in coordination with Patient Account Receivable to ensure accurate payments are received.

Follows up on denials received to resubmit accurate data

Informs patients of Clinic policies regarding minimum payment requirements and financial arrangements such as sliding fee scales and payment contracts

Advises Finance staff regarding parties with outstanding balances to assist in determining which accounts are appropriate for payment plans

Prepares reports, analyzes and reconciles data

Follows established policies and procedures

Develop and maintain effective working relationships with SALUD staff, patients, health insurance agents, government community agency representatives, and the public

REQUIRED MINIMUM QUALIFICATIONS

High School Diploma and two years of health insurance billing experience.

One year experience working with the following state programs and rules:

MediCal

Medicare

Child Health Disability Program (CHDP)

Family Pact

Healthy Families

Cancer Detection Program (CDP)

Fluency in Spanish/English

One year recent experience with standard ICD-9 medical and dental coding (within last 2 years)

Strong communication, computer, organizational and information management skills

Ability to maintain strict confidentiality

DESIRED MINIMUM QUALIFICATIONS

One year experience working with Workers’ Compensation billing preferred

Experience working in a community health center setting or similar environment

Completion of medical terminology course

Experience with Electronic Health Record system(s) and insurance billing

Bicultural candidates preferred

PHYSICAL REQUIREMENTS

This position requires full range of body motion. While performing the duties of this job, the employee is regularly required to sit, walk and stand; talk or hear, both in person and by telephone; use hands repetitively to finger, handle, feel or operate standard office equipment; reach with hands and arms; and lift up to 25 pounds.

SALARY & BENEFITS

This is a limited term position. Competitive hourly rate of pay.

APPLICATION PROCESS

Please submit a current resume and cover letter to careers@splg.org by May 8, 2015

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