Description
Title: Patient Account Biller Senior
Location: Predominantly remote
Department: MCSS Patient Accounting
Status: Fulltime
Shift: Days (8hr shift) Predominantly remote
Pay Range: $23.55/hr - $34.13/hr
Additional Offerings :

• Supplemental Bonus and Incentive Program
• Internet/Wireless Expense Reimbursement
• Remote/Work-from-home

MemorialCare is a nonprofit integrated health system that includes four leading hospitals, award-winning medical groups - consisting of over 200 sites of care, and more than 2,000 physicians throughout Orange and Los Angeles Counties. We are committed to increasing access to patient-centric, affordable, and high-quality healthcare; your personal contributions are integral to MemorialCare's recognition as a market leader and innovator in value-based and other care models.
Across our family of medical centers, we support each one of our bright, talented employees in reaching the highest levels of professional development, contribution, collaboration, and accountability. Whatever your role and whatever expertise you bring, we are dedicated to helping you achieve your full potential in an environment of respect, innovation, and teamwork.
Position Summary
Medi-Cal Biller, Senior is responsible for all Medi-Cal/CCS billing of accounts to Fiscal Intermediary (FISS) to ensure that PFS is capturing all revenues as timely, efficiently and accurately as possible. The Medi-Cal Biller, Senior utilizes many complex and varying regulations, guidelines and systems to perform Medi-Cal/CCS billing functions. Proactively works with Fiscal Intermediary, patients and in-house resources to identify and resolve issues that delay account billing.Works under the supervision of management performing all tasks related to hospital reimbursement.
Essential Functions and Responsibilities of the Job

• Ability to utilize patient billing software in the performance of job functions.
• Ability to accurately and timely request documentation needed from other departments to complete the billing process.
• Ability to apply working knowledge of coding for accurate, timely billing reimbursement.
• Demonstrates appropriate follow-up necessary resulting in expedient payment of billed charges.
• Ability to recognize, share, and apply knowledge of state and federal regulations in Medi-Cal billing activities.
• Able to be at work and on time, follow organization rules and procedures and directions from a Coordinator/Lead or other member of the Management staff.
• At all times, provides professional and exceptional customer service and sets an example when interacting with all customers.
• Able to adhere to all confidentiality policies and procedures and carry out all tasks pleasantly and respectfully.
• Ability to make suggestions for and initiate enhancements throughout the department and continually seek opportunities to improve current policies, procedures, and practices.
• Able to recognize and perform essential duties and offer assistance to others or perform other required tasks when own assignments are completed.
• Performs other duties as assigned by management.
• Ability to use critical thinking while reviewing Medi-Cal billing and collection notes in the financial computer system to ensure that the appropriate action is taken within the billing and collection process and to ensure correct hospital reimbursement.

Placement in the pay range is based on multiple factors including, but not limited to, relevant years of experience and qualifications. In addition to base pay, there may be additional compensation available for this role, including but not limited to, shift differentials, extra shift incentives, and bonus opportunities.Health and wellness is our passion at MemorialCare-that includes taking good care of employees and their dependents. We offer high quality health insurance plan options, so you can select the best choice for your family. And there's more...Check out our MemorialCare Benefits for more information about our Benefits and Rewards.
Qualifications
Experience

• Minimum 2 year of Medi-Cal Hospital (Government) Inpatient and Outpatient billing experience (required)
• Current knowledge of Department of Health Care Services (DHCS) guidelines, Medi-Cal manuals, and Managed Medi-Cal payment methodologies.
• Knowledge EPIC, Electronic billing, Claim Source, Office Ally, preferred.
• Knowledge of medical terminology and coding preferred.
• Written and verbal communication skills to meet productivity standards.
• Positive work ethics
• Microsoft Office, Excel experience, preferred.

Education

• High School diploma, GED equivalent, preferred.
• Business-related courses preferred.
• AA Degree or medical field certificate, preferred.