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Medical Biller/Collector
2 months ago
All for Health, Health for All, Inc. (AFH) has provided health services to the medically underserved and indigent community for over 40 years. AFH is a nonprofit Federally Qualified Health Center and certified Patient-Centered Medical Home whose mission is to eliminate disparities in access to health care for the underserved multi-ethnic diverse population of Los Angeles and San Luis Obispo counties. AFH’s services encompass general family practice, pediatric care, mental health, and behavioral health services as well as adult day health care services. We have served over 21,000 patients last year with over 81,000 visits across a dozen clinic locations. Our comprehensive and integrated care delivery model is paramount to our success in ensuring continuity and coordination of care for all patients throughout their disease management.
At this time, AFH welcomes applicants interested in joining our growing, talented, and mission-driven team to submit their information for immediate consideration. We are currently recruiting a full time Medical Biller/Collector. This is a TEMPORARY position with the potential to transform into a permanent position.
SUMMARY
An individual must be able to perform each essential duty satisfactorily which includes billing, posting payments, answering patient questions and concerns by phone or personally in fast-paced, patient-oriented, clinical environment.
Essential Duties and Responsibilities
- Review patient encounters for accuracy and completeness and obtain any missing information.
- Accurately audit encounters of all-payer sources and generate claims for electronic or paper claims for submission, daily to ensure timely collections.
- All accounts are to be reviewed for insurance or patient follow-up.
- Review and follow-up on unpaid EOB’s & RAs to ensure follow-up is done on a timely basis.
- Identify and bill secondary or tertiary insurances.
- Post payments. Check each insurance payment for accuracy and compliance with contract discounts.
- Answer all patient or insurance telephone inquiries pertaining to assigned accounts.
- Capitation Payments & EOBs: Post capitation payments and complete various excel reports which break down capitation payments by providers and payers.
- Process refund requests on a weekly basis.
- Perform electronic claims transmissions on a weekly basis, preferably on every Thursdays.
- All other duties assigned by your supervisor
QUALIFICATIONS
- High School Graduate/GED
- Billing and Medical Terminology courses strongly recommended
- Up to and including 2 (two) years’ experience
- Working knowledge of contracted insurance plans
- Experience working with the public
- Ability to maintain an outgoing, friendly attitude with patients and staff even under pressure
- Ability to work with interruptions and manage multiple priorities
- Ability to speak, understand and write grammatically correct English
- Accuracy in spelling and basic math
- Ability to write clearly, concisely, logically, and legibly
- Working knowledge of general office duties
- Typing at least 35 wpm and 10key adding machine by touch
- Ability to work in a fast-paced environment
EDUCATION/EXPERIENCES
- High School Graduate/GED
- Billing and Medical Terminology courses strongly recommended
- Up to and including 1-2 years’ experience
