Biller Collector

CLASSIFICATION: Hourly, Non-Exempt

LOCATION: Administration

JOB SUMMARY: Responsible for generating patient billing statements and ensuring billing collection.

ACCOUNTABLE TO: Billing Lead / CFO

JOB DUTIES: Generate and enter billing for all medical visits and ensure collection of payments, including the following:

• Ensure successful entry of all medical visits into the practice management EHR Medical Billing System.
• Reconcile all charges and data entered the system assuring 100% data entry accuracy; assure correct provider, facility, medical service, and coding are billed.
• Assist the A/R Manager collect accounts receivable, including the following revenue sources: Medi-Cal, Medicare, PPO, HMO, Private Insurance, and all other fees for service revenue.
• Assist the A/R Manager as directed to appeal, trouble shoot, prepare denied claims for rebilling, inquire and correct unpaid claims for re-submission daily as necessary.
• Request and follow up on additional information as needed for auditing of claims and all revenue reports including eligibility, benefits, and provider information.
• Submit claims to insurance companies daily as necessary.
• File all correspondence into patient's chart.
• Negotiate settlements for payments with insurance companies and courts with the assistance of Billing Manager.
• Audit claims daily to ensure timely collections. Review EOBs as directed to ensure compliance with billing practices.
• Follow billing policy guidelines and documented procedures.
• Consistently demonstrate and uphold CCCHC's principle of providing quality health and human services to the medically underserved and low-income populations in a culturally sensitive manner.
• Other duties as assigned.
  
  

Special Knowledge, Skills, Abilities And Attributes

• Demonstrated ability to exercise sound judgment.
• Ability to communicate clearly and concisely.
• Ability to plan and be organized.
• Ability to work well under pressure, take initiative and be flexible and cooperative.
• Self-motivated and independently productive.
• Ability to maintain confidentiality of patient information and Company records.
• Ability to work effectively with both employees and managers.
• Ability to convey a positive and professional image to patients and employees.
• Professional appearance and demeanor.
• Bilingual in English/Spanish preferred
• Demonstrated proficiency in various PC applications, including E-mail, Microsoft Excel, and Word, Internet and networking devices.
• Required to know, follow and enforce safe work practices, and be aware of company policies and procedures related to job safety, including safety rules and regulations.
• Required to have knowledge of CHDP guidelines, Immunizations schedule and AAP periodicity table.
  
  

Education And Experience Requirements

• High School Diploma or GED and will be encouraged to take related college course work.
  
  

Central City Community Health Center offer a dynamic work environment with competitive salaries and benefits. Central City Community Health Center provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Central City complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities.