Medical Biller – ParkTree

Immediate Opportunity for Biller

Are you looking for a rewarding position that not only offers great benefits but an opportunity to give back to the community? Come join the Parktree Community Health Center Team!

Parktree Community Health Center provides comprehensive and integrative medical, dental, and behavioral health services to the local community in the Pomona and Ontario areas.

We are looking for an energetic and professional Biller to join our team.

Job Summary:

The position requires a Medical Biller with strong analytical skills to review and process charges, and successfully work aging (Medi-Cal CIFS, rejections, denials) reports. Responsible to ensure accurate and appropriate billing, claims submission and subsequent follow up within 30 days of rejected claims. Maintain NextGen EPM patient accounts as well as all historical data. Collaborates with the Billing team and leadership to identify and correct trends preventing proper adjudication of medical or dental claims.

Processes pending charges, complete internal and external audit checks for claim accuracy, sends communication to clinicians and applicable staff members for any incomplete documentation identifies billing trends and reports them to leadership in a timely manner. Completes Provides support services and other office functions within internal control guidelines.

Essential Duties:

1. Complies with all mandatory trainings

2. Process charges, both medical and dental according to the organization’s guidelines

3. Verifies completeness and accuracy of claims prior to claim submission

4. Timely follow-up on insurance claim denials, exceptions or exclusions

5. Proper interpretation of explanation of benefits

6. Complete Kept without Charges and Unbilled/Rebilled reports to ensure all encounters are accounted for and in a billed status

7. Answers patient billing questions and checks billing hotline voicemail as needed and returns patient phone calls

8. Submits paper claims if required along with primary explanation of benefits as needed

9. Reviews denials for patterns and works denials within 30 days

10. Use EHR documentation to verify correct coding and medical necessity

11. Research and initiate activity to resolve charges and coding issues

12. Recognize the organization’s payer mix and potential for additional revenue streams

13. Maintains knowledge of current industry regulations and communicates updates accordingly

14. Complete assigned tasks and assist with error resolution

15. Maintains required billing records, reports, and files in PCHC billing folder

16. Maintains confidentiality of all patient and employee information.

17. Participate in development of billing and cross-training materials

18. Serve as a back-up to other billing functions as needed

19. Other duties assigned

Job Qualifications and Skills:

1. Treat all patients and colleagues with dignity and respect

2. Ability to work with diverse populations

3. Strong written and verbal communication skills

4. Excellent customer service skills

5. Preferred strong working knowledge of principles and practices of FQHC revenue cycle.

6. Preferred experiences in medical billing

7. Preferred NextGen Practice Management

8. Experience and working knowledge of Excel, MS Word, practice management system and EHR.

9. Demonstrate skills in communicating effectively both orally and in writing in a timely manner.

10. Ability to take directions and complete tasks on time.

11. Excellent organization skills

12. High school graduate or equivalent.

13. Preferred Certified Coder (CPC, CCS-P) with credential from either AAPC or AHIMA

14. Knowledge of medical terminology, anatomy & physiology

15. Knowledge of Medicare and Medi-Cal billing guidelines

16. Computer experience is essential

17. Minimum 3 years’ experience in related field

Comprehensive Employee Benefits including:

• Comprehensive Medical/Dental/Vision benefits for Full-Time employees
• Paid holidays, vacation, sick and personal time
• Retirement Plan with employer contribution
• Tuition Assistance

Physical Requirements:

• Prolonged periods of sitting and computer work.
• Ability to lift/move up to 30 pounds.
• Reasonable accommodations can be made for individuals with disabilities.

To apply please send your resume (in PDF or Word Format)

Job Type: Full-time

Pay: $21.00 – $25.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Work Location: In person