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Accounts Receivable Specialist

2 months ago

Fresno, California, United States Clinica Sierra Vista Full time
Job Overview

Clinica Sierra Vista is proud to be among the largest Federally Qualified Health Centers in the United States, dedicated to providing care to diverse populations, including those in rural and urban areas, as well as individuals from various cultural backgrounds. We prioritize patient care without regard to immigration status.

As we expand our workforce, we seek individuals who are committed to placing the patient at the forefront of their work.

Why consider a career with us?

  • Competitive compensation aligned with your skills and experience
  • Comprehensive health benefits for you and your family
  • Generous vacation time each year
  • Wellness programs and discounts for fitness facilities
  • Support for ongoing education to enhance your professional development
  • 403(B) retirement plan with employer matching

We are currently seeking a Billing Clerk who will:

Under the supervision of the Revenue Cycle Director, the Billing Clerk I will manage all aspects of billing and account follow-up, utilizing accepted billing methodologies to ensure thorough and consistent resolution of accounts, thereby supporting the financial stability of Clinica Sierra Vista.

Key Responsibilities:

  • Deliver efficient and effective accounts receivable services to optimize reimbursement.
  • Accurately process billing for Medicare, Medi-Cal, self-pay/sliding fee, and commercial insurance claims in accordance with payer guidelines and CSV Billing Policies and Procedures.
  • Post patient payments and manage electronic and paper insurance remittances.
  • Rectify claim and charge discrepancies.
  • Conduct thorough research and resolve credit balances.
  • Respond to patient inquiries regarding their billing statements.
  • Assist in the collection of receivables by monitoring accounts, checking claim statuses, resubmitting overdue claims, filing corrected claims or appeals, and notifying supervisors of seriously overdue accounts.
  • Establish and maintain positive relationships with patients, payers, team members, and other stakeholders.
  • Ensure confidentiality of patient information in compliance with HIPAA regulations.
  • Perform additional projects related to billing, data entry, and computer operations as required.
  • Complete other duties as assigned; please refer to the attachment for the full job description.

Qualifications for Success:

  • High School diploma or equivalent.
  • Must be at least 18 years old.
  • A minimum of two years of experience in medical/dental billing, including knowledge of CPT and ICD10 coding.
  • Familiarity with the Epic practice management system is preferred.
  • Prior experience in a Federally Qualified Health Center (FQHC) or Rural Health Center (RHC) is advantageous.
  • Ability to perform accurate arithmetic computations.
  • Must comply with Clinica Sierra Vista's employee health/immunization requirements or submit a valid exemption request for approval.

At Clinica Sierra Vista, we value human rights, goodwill, respect, inclusivity, and equality. We recognize that our strength lies in the diverse thoughts, ideas, and contributions of our workforce. As leaders in the healthcare industry, we aspire to be an employer of choice by fostering an organizational culture that reflects these core values. Our goal is to create a welcoming and inclusive environment that empowers our employees to deliver the highest level of service to our community.

Clinica Sierra Vista is an equal opportunity employer and is committed to attracting qualified applicants from all backgrounds without regard to race, color, ethnicity, religion, national origin, age, sex, sexual orientation, gender identity, gender expression, marital status, ancestry, physical or mental disability, medical condition, genetic information, military and veteran status, or any other status protected under federal, state, and/or local law. We aim to cultivate an environment that celebrates and embraces the diversity of our workforce.