MEDICAL BILLING SPECIALIST

MEDICAL BILLING SPECIALIST

MEDICAL BILLING SPECIALIST
  • General
  • Anywhere

POSITION TITLE: MEDICAL BILLING SPECIALIST

FLSA Status: Non-Exempt

REPORTS TO: Director of Billing Cycle

DEPARTMENT: Administration

WORKSITE: Ravenswood campus

ORGANIZATION

The mission of Ravenswood Family Health Network (RFHN) is to improve the health of the community by providing culturally sensitive, integrated primary and preventative health care to all, regardless of ability to pay or immigration status, and collaborating with community partners to address the social determinants of health.

POSITION SUMMARY

Under direct supervision, the Medical Billing Specialist is responsible for the preparation and submission of billing for all payers including self-pay patients, public program, and private third-party insurance. Also conducts accounts receivable reviews and follows-up on all unpaid accounts to ensure prompt payment.

DUTIES AND RESPONSIBILITIES

To be performed in accordance with RFHN Policies and Procedures

  1. Reviews assigned encounter forms for accuracy and completeness.
  2. Returns incomplete forms to the appropriate clinical staff for correction.
  3. Enters all visit and diagnostic codes from encounter forms into the practice management system on a daily basis.
  4. Reviews batches of charges entered for errors prior to submitting.
  5. Processes billing for services to all payers including submission of electronic claims for public programs, hard copy claims on HCFA 1500’s and UB 04’s for private insurance and hard copy statements for self-pay patients.
  6. Maintains backup of original documentation including encounter forms, copies of statements, and correspondence available for audit, upon request.
  7. Researches denials, unpaid or partially paid claims, and re-bills weekly to ensure prompt payment.
  8. Attends training seminars sponsored by the State or other payers to keep up-to-date billing and eligibility issues.
  9. Responds to/answers all calls regarding patient accounts and billing questions.
  10. Develops payment agreements with patients with the approval of the Billing Manager.
  11. Attends meetings and participates in committees as requested.
  12. Other duties as assigned and requested.

QUALIFICATIONS

  • Completion of COVID-19 vaccine series and booster
  • High school diploma or equivalent (GED) required with one year of billing experience in a health care organization required.
  • Knowledge of billing practices required.
  • Knowledge of CPT and ICD-10 coding and billing requirements for public programs and third-party payers.
  • Knowledge of EPIC/OCHIN preferred.
  • Bilingual Spanish/English or Tongan/English preferred.
  • Familiar with a Windows environment and specifically Microsoft Excel.

Ravenswood Family Health Network is an equal opportunity employer.

Qualified applicants, please submit resume to resumes@ravenswoodfhc.org or fax to 650.321.8576.

Note:  Only qualified applicants will be contacted.  Please do NOT contact HR to ask for the status of your resume as those calls will not be returned.

To apply for this job email your details to resumes@ravenswoodfhc.org