Patient Biller 3

Responsibilities

Venice Family Clinic is a nonprofit community health center celebrating 50 years of delivering quality primary care to people in need. We provide vital and comprehensive health care services to nearly 28,000 people each year, regardless of their income, insurance or immigration status. Our history is rooted in Venice, but our footprint, impact, and ambitions are more expansive than ever. Visit venicefamilyclinic.org to learn more about us.

Under supervision of Billing
Manager, you will be responsible for third party billing including local
contracts/programs and grants. Your major functions
include managing a billing portfolio of assigned site, responding to
correspondence and continuously work with the Front Desk, Coordinators, site
managers and Medical staff to ensure completion of encounter. You will ensure correct and timely reimbursement.
Perform follow-up and collection of claims submitted and will complete and reconcile
payments and make notations of any discrepancies. You will also utilize and develop audit tools to ensure the
integrity of system data.
Qualifications
  • Knowledge of State and Federal programs to ensure
    reimbursement from the State & Local contracts/programs and grants
  • Knowledge of
    health plan benefits to understand medical terminology and provider
    reimbursement methodologies. Familiarity with HIPAA guidelines
  • Detail knowledge and understanding of the ICD-10 CM
    coding, and CPT coding classification
  • Working knowledge
    in the insurance verification process to determine benefit eligibility and
    interpretation of coverage
  • Strong analytical skills, including an ability to analyze claim
    data. Assist with development and
    maintenance of Policy & Procedures binder
  • Ability to analyze
    problems and formulate plans, solutions and a course of action. Set own priorities and work independently
  • Ability to
    multi-task and manage deadlines. Computer literate with emphasis in applications such a Microsoft Word,
    Excel, Outlook (calendaring) and Managed Care software
  • Ability to
    scrutinize insurance data independently and evaluate information for clarity,
    accuracy and completeness
  • Ability to plan, initiates, organized, and prioritizes
    assignments
  • Ability to establish and maintain an organized filing
    system
  • Experience with a 10 key

UCLA is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veteran status.

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