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Billing Specialist Job in Santa Rosa, California

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Job Title: Billing Specialist

Employer:Northern California Medical Associates
Type:Hourly Full-Time
Location:Santa Rosa, CA
Date Posted:7/11/2018

Duties and Responsibilities (includes, but is not limited to the following):

  • Submit claims to various payers either electronically or by paper.
  • Respond to correspondence from patients, staff, physicians and insurance companies.
  • Resolve patient billing questions and complaints.
  • Prepare, review and send patient statements.
  • Review accounts for possible assignment to collection agency.
  • Perform various collection actions including contacting patient by phone, correcting and resubmitting claims to payers.
  • Submit supporting documentation according to payer’s clinical policies.
  • Monitor open item aging to identify accounts with delinquent items requiring follow up.
  • Complete adjustments to remove non-payable services or correct erroneous entries.
  • Reconcile accounts.
  • Perform billing and charge corrections when identified.
  • Process requests for refunds.

Education, Licensure and/or Certifications

  • High school diploma or GED

Experience

  • One year of billing experience in a health care organization.  Additional appropriate education may be substituted for one year of billing experience.

Knowledge, Skills and Abilities

  • Extensive knowledge of medical billing and collection practices including insurance company payment policies and fee schedules. 
  • Knowledge of medical office policies and procedures. 
  • Knowledge of CPT, ICD-9, ICD-10, and HCPCS coding. 
  • Knowledge of HIPAA guidelines.
  • Knowledge of database functionality, Microsoft Word and Excel. 
  • Knowledge of basic accounting principles.
  • Skill in using computer, adding machine, and other office equipment.
  • Ability to examine documents for accuracy and completeness.
  • Ability to read, understand, and follow verbal and written instructions.
  • Ability to establish and maintain effective working relationships with patients, employees and the public. 
  • Ability to communicate clearly both written and verbal. 
  • Skill in answering the telephone in a pleasant and helpful manner.

Applying

Please visit our website at www.ncmahealth.com. 

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