Billing Operations Coordinator
3 days ago
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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