Billing Operations Coordinator

3 days ago


Rancho Cucamonga, California, United States Alta Hospitals Full time
About Alta Hospitals

At Alta Hospitals, we are committed to delivering high-quality patient care and innovative medical solutions. Our organization is dedicated to advancing healthcare through research, education, and community engagement.

Job Description

**Role Summary:**
We are seeking an experienced Billing Specialist to join our team at Alta Hospitals. This individual will be responsible for managing the billing and collections process for our outpatient clinics.

**Key Responsibilities:**

  • Routinely review and audit clinic billing/collections with third-party billing entities and clinic operations teams to ensure timely billing and maximize collections according to insurance contracts.
  • Proactively identify risks and problems impacting clinic cash flow, analyze and code clinic diagnostic and procedural information that determines Medicare, Medi-Cal, HMO, and Private insurance payments.
  • Implement actions to improve billing/collections processes, charge capture, and optimize reimbursement.
  • Monitor and log daily cash and check deposits (co-pay, checks, e-deposit) and upload/scan EFT deposits to the billing companies.
  • Document and track monthly Capitation, FFS, and physician collection logs.
  • Post daily billing batches/claim encounters and maintain internal control for timely billing and collections.

**Required Skills and Qualifications:**

  • One to two (1-2) years of clinic billing/collections experience required.
  • Understanding and up-to-date knowledge of current coding and billing regulations and compliance requirements.
  • Demonstrated proficiency in Microsoft Office applications.
  • Detail-oriented with good analytical and organizational skills.


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