Billing Representative

Overview

Billing Representative - San Juan Capistrano, CA - Monday-Friday (8.5 hour shift anytime between 6:00am - 5:00pm) - we have flexibility.  The time zone is Pacific Standard Time.

*WEST COAST candidates HIGHLY preferred due to the work hours supporting the Pacific coast

Pay Range: $16.43 - $24.64 / hour

Salary offers are based on a wide range of factors including relevant skills, training, experience, education, and, where applicable, certifications obtained. Market and organizational factors are also considered. Successful candidates may be eligible to receive annual performance bonus compensation.

Benefits Information:We are proud to offer best-in-class benefits and programs to support employees and their families in living healthy, happy lives. Our pay and benefit plans have been designed to promote employee health in all respects – physical, financial, and developmental. Depending on whether it is a part-time or full-time position, some of the benefits offered may include: Medical/Prescription Drugs Dental Vision Flexible Spending Accounts (FSAs) Supplemental Health Plans 401(k) Plan – Company match dollar-for-dollar up to 5% Employee Stock Purchase Plan (ESPP) Supplemental Life Insurance Dependent Life Insurance Short- and Long-Term Disability buy-up Blueprint for Wellness Emotional Well-Being Resources Educational Assistance Paid time off / Health Time Variable Compensation Plans Sales Incentive Plans

In an environment where the patient is at the center of everything that we do, the individuals in this position typically reconcile medical claims for the purpose of collecting revenue for the organization. They work with patient, client and/or third-party insurance bills, and may work on one or more of these processes on a daily basis.

Responsibilities

• Focused efforts on increasing cash and reducing bad debt.
• Apply payments and denials to third party carriers in all media types.
• Interpret Explanation of Benefits for appropriate follow-up action.
• Complete refunds/adjustments to customer's accounts, while providing necessary back-up information in order to maintain accuracy.
• Contact third party carriers to follow up on denied and unresponded claims.
• Analyze and apply denials, process and review claims.
• Perform screen scrapes.
• Evaluate and respond to all aspects of written billing inquiries from the patient or their representative in order to resolve billing issues.
• Handle patient indigency and bankruptcy claims.
• Make have contact with insurance carriers, clients, patients and/or other outside sources.
• Regular research involving both the web and billing systems.
• May be a certified Medical Coder and/or involved with medical coding.
• Maintain Compliance and HIPAA standards at all times Meet or exceed daily production standards Meet or exceed daily quality standards.
• Ability to work on various other projects as needed.

Qualifications

QUALIFICATIONS

Required Work Experience:

• At least one year of relevant experience

Preferred Work Experience:

• 1-3 years of experience in A/R, Billing, Customer Service, insurance, or healthcare preferred.

Physical and Mental Requirements:

• N/A

Knowledge:

• N/A

Skills:

• PC Skills, with specific proficiency in Excel and data entry
• Basic Math skills
• Excellent communication skills to effectively converse with internal and external candidates; ability to negotiate payment plans.
• Good organizational skills.
• Ability to work independently and as part of a team.
• Ability to work overtime as needed, based on departmental needs.

EDUCATION High School Diploma or Equivalent(Required)Some College CoursesLICENSECERTIFICATIONS

2023-39187

Salary : $16 - $25