Billing Specialist

Description

 We are seeking a full time (1.0 FTE) Billing Specialist to join our Hayward Team!

The main purpose of the Billing Specialist is to review and carry out the insurance claim billing process for the organization, working with patients and carriers.

Billing Specialist duties include but are not limited to the following: 

• Prepares, reviews and transmits claims using billing software, including electronic and paper claim processing
• Reads and interprets insurance explanation of benefits
• Posts manual and/or electronic remittance advices and patient payment
• Timely follow up on insurance claim denials, appeals, exceptions or exclusions
• Utilizes monthly aging accounts receivable reports to follow up on unpaid claims aged over 30 days
• Contacts patients regarding outstanding balances
• Establishes payment plans to help patients manage payment of bills
• Sends delinquent accounts to collection agencies
• Trains appropriate personnel on computerized billing system
• Responds to patient billing and statement inquiries
• Creates and mails insurance claims and patient statements
• Makes recommendations to management for write-offs
• Assists Manager/Supervisor with special projects as requested
• Other duties as assigned

Requirements

Qualifications and Education Requirements   

Associate's degree (A. A.) or equivalent from two-year college or technical school; or six months related experience and/or training, or equivalent combination of education and experience. Understanding of healthcare reimbursement practices strongly preferred. 

Preferred Skills

• Previous experience with EPIC electronic health record is preferred. 
• Prior FQHC experience preferred.

We Offer a Comprehensive Benefits Package:

• Competitive benefits include Health, Dental, 403B Retirement Savings Plan w/ employer match, HSA/Flexible spending accounts, and Employer-paid STD, LTD and Life Insurance
• Family-friendly, flexible work schedules - NO WEEKENDS!
• 9 Paid holidays including the Day After Thanksgiving, Christmas Eve, and a Birthday holiday in accordance with our Holiday policy.
• PLUS 3 weeks of PTO, with 1 full week of PTO available to use upon hire prorated based on FTE.
• NorthLakes Paid Leave Bank to help support your medical needs
• Tuition Reimbursement Program
• Unique Wellness Benefits; including a generous Health & Wellness Reimbursement program, Community Supported Agriculture (CSA) loan program, and Employee Assistance Program
• Employee Referral Program $$$

* Benefits eligibility is dependent upon FTE Status and Position

*All offers of employment are contingent upon successful completion of a criminal background check and references.

"Our Mission is to respond to the healthcare needs of our communities with an integrated array of quality services and actively remove barriers to wellness"

NorthLakes Community Clinic is an Equal Opportunity Employer. All qualified applicants will be considered for employment regardless of age, race, color, creed, religion, sex, sexual orientation, national origin, ancestry, marital status, disability, military or veteran status, or any other classification protected by applicable law.