Billing Coordinator- Bakersfield 1.1

Employment Details:

Location: Bakersfield, CA (Onsite)

Classification: Full-Time

This position is non-exempt and will be paid on an hourly basis.

Schedule: Monday-Friday 8am-5pm

Benefits:

• Medical
• Dental
• Vision
• Simple IRA Plan
• Employer Paid Life Insurance
• Employee Assistance Program

Compensation: The initial pay range for this position upon commencement of employment is projected to fall between $18.16 and $22.69. However, the offered base pay may be subject to adjustments based on various individualized factors, such as the candidate's relevant knowledge, skills, and experience. We believe that exceptional talent deserves exceptional rewards. As a committed and forward-thinking organization, we offer competitive compensation packages designed to attract and retain top candidates like you.

Position Summary:

A Billing Coordinator is responsible for handling various financial tasks related to billing and invoicing within an organization. Their primary role is to ensure accurate and timely processing of invoices and payments, as well as maintaining proper records of financial transactions.

Job Duties and Responsibilities:

• Record each encounter in a designated file within the system.
• Audit encounters for discrepancies or errors, flagging them for further investigation or corrections.
• Generate billing reports, including encounter billing time.
• Create reports that summarize the billing information for each encounter, including the time spent on billing.
• Monitor and track the authorization units associated with each claim that has been billed.
• Utilize the ICD-10 coding link within the EMR system to assign appropriate codes to diagnoses related to the encounters.
• Generate follow-up tasks in the Accounts Receivable (AR) system for each claim, ensuring that they are properly tracked and managed.
• Process received checks, entering the corresponding information into the EMR system, and clearing out the task assignments related to each claim in the AR system.
• Regularly follow up on the status of claims, ensuring that they are being processed and resolved in a timely manner.
• Monitor and track claims that have been denied and coordinate with the Revenue Cycle Appeals Coordinator to address these denials.
• Upload various letters related to denials and appeals into the EMR system, creating task assignments to ensure they are appropriately addressed.
• Generate reports summarizing closed encounters and collaborate with your supervisor on reviewing and analyzing this data.
• Compile and prepare a report that showcases the productivity of each case manager, including the breakdown of successful and non-successful encounters.
• Update a tracking sheet with details of denied claims that involve duplicate charges or cases where the member was termed before the Date of Service (DOS).
• Shared responsibilities within the department needs.
• Other duties as assigned.

Qualifications:

• High School Diploma or equivalent.
• Managed Care or Enhanced Care Management experience preferred.
• General knowledge of CPT and ICD10 coding preferred.
• Knowledge and awareness of Federal and State regulations as they relate to Managed Care Health plans.
• Established experience with database management system.
• Basic familiarity with Medi-Cal terminology is required.
• Ability to learn new and complex computer system applications.
• Attention to detail and accuracy.
• Advanced Word, Excel, and Outlook skills required.