Billing Lead (4-6 MONTHS )

Description

Salud Para La Gente (SALUD) provides high quality, comprehensive and cost-effective healthcare to underserved low-income communities in the Monterey Bay area, including Santa Cruz County and North Monterey County. We began in Watsonville in 1978 as a storefront “free clinic,” and with the ever growing need for health services, in 1992 became a federally qualified health center (FQHC). Today we are a primary health care network with 12 clinic sites, over 390 employees and continues to provide high quality services to patients of all ages.

We are seeking a dynamic, organized and detail-oriented Billing Lead to be responsible for ensuring all areas of the billing department run accurately. Works in coordination with the Billing Supervisor to ensure the proper processing of all billing functions.

Responsibilities include, but are not limited to, the following:

1. Consistently adheres to and/or exceed SPLG’s communication guidelines and expectations with patients, peers, and supervisors. 
2. Collaboratively works with patients through SPLG’s communication guidelines to positively affect their health outcomes.
3. Adheres to the SPLG Mission, Vision, and Values, Standards of Conduct and HIPPA principles. 
4. Maintains effective working relationship with a diverse employee, patient and business population.
5. Researches and answers any questions regarding account balances, bills, or correspondence on a patient's account in a timely and professional manner and with regard to patient confidentiality.
6. Using proper phone etiquette answers incoming calls courteously and professionally.
7. Maintains expertise in registration and charge posting in all Salud’s specialties and sub-specialties for all payers.
8. Provides administrative expertise and technical assistance to the Patient Service Coordinators and leads as required for financial and insurance issues.
9. Oversee daily billing department activities to insure optimal productivity.
10. Monitors encounters and charge capture process: 
11. Works in coordination with Billing Clerk’s, Providers and clinical support staff to support timely resolution of all encounters per policy.
12. Evaluates encounter report throughout the month and provides updates to Billing Supervisor and Finance as needed.
13. Maintain open communication with WCH hospitalist regarding unresolved hospital encounters.
14. Monitors billing clerk’s aged receivables-claims and claim denials:
15. The Billing Lead will notify Billing Supervisor and/or support staff of significant error/denial patterns.
16. Monitor that billers claim denials and aged claims are followed up by policy standards. 
17. Attends the following meetings:
18. Periodic meetings with Billing Supervisor and provides updates and recommendations regarding departmental performance.
19. Attends other department meetings as needed
20. Conducts the following meetings:
21. Periodic meetings/huddles with the billing staff to discuss any procedural changes, as well as provide updates regarding health insurance billing or state funded programs as needed.
22. Biweekly orientation for new SPLG staff
23. Prepares and coordinates a variety of departmental data reports in order to analyze:
24. Billing workflows and make recommendations to Billing Supervisor as needed.
25. Training recommendations to Billing Supervisor and/or Support Staff Managers as needed.
26. Billing Lead produces new workflows/procedures as needed.
27. Daily billing department coverage of assignments.
28. Provides billing related reports to Billing Supervisor, Finance Staff or CFO as needed.
29. Maintains open communication with:
30. The billing department and remains up-to-date and knowledgeable of all billing activities.
31. Billing Lead may co-facilitate in individual or group meetings/training related to billing as needed. 
32. Provides/coordinates training and support to new and established billers in charge posting and insurance billing. 
33. Performs a variety of office support and general clerical duties as needed. 
34. When applicable initiate Data Systems support request for billing issues

20. Performs other duties as assigned.

Requirements

MINIMUM QUALIFICATIONS

• High School Diploma
• 3 years health insurance billing experience.
• Two year experience working with the following state programs and rules:
• MediCal
• Managed MediCal
• Medicare
• Child Health Disability Program (CHDP)0
• Family Pact
• Commercial Insurances
• Every Woman Counts
• Bilingual Spanish/English.
• One year computer experience with Microsoft Office Outlook, Word and Excel
• One year internet experience
• One year experience with standard ICD-10 medical and dental coding (experience
• required within the past two years).
• Medical terminology-Course Completed/Passed

SALARY & BENEFITS

Salary Range: $28.17 - $34.26 per hour

Benefits include: CA Sick Pay and Holiday Pay, prorated per hours worked

**Salud is an affirmative action and equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information. Salud is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. To request reasonable accommodation, contact the Salud Human Resources Department, [831-728-8250, and HRDept@splg.org].**

Salary : $28 - $34