Insurance Biller II
3.
1 Escondido, CA Escondido, CA Full-time Full-time $23.
06 - $28.
18 an hour $23.
06 - $28.
18 an hour 4 days ago 4 days ago 4 days ago Community health is about more than just vaccines and checkups.
It's about giving people the resources they need to live their best lives.
At Neighborhood, this is our vision:
a community where everyone is healthy and happy.
We're with you every step of the way, with the care you need for each of life's chapters.
At Neighborhood, we are Better Together.
As a private, non-profit 501(C) (3) community health organization, we serve over 414,000 medical, dental, and behavioral health visits from more than 90,000 people annually.
We do this in pursuit of our mission to improve the health and happiness of the communities we serve by providing quality care to all, regardless of situation or circumstance.
Since 1969, our employees have been making this mission a reality.
Regardless of the role, our team focuses on being compassionate, having integrity, being professional, always collaborating, and consistently going above and beyond.
If this sounds like an organization you would like to be a part of, we would love to meet you.
The Insurance Biller II works to support the mission and vision of Neighborhood Healthcare (NHC) by processing and supporting the medical billing process for patients and other funding sources.
This role will validate correct coding processes to ensure compliance with NHC, contracts, funding programs, and agencies.
Roles & Responsibilities Reviews progress notes to obtain payer measures and requirements information for proper submission compliance Reviews and obtains required information for missing and incomplete billings, such as missing DX, procedure codes, payer specific needs, eligibility screening, and coverage verification Creates and submits claims for clean billable charges and statements in compliance of correct coding initiatives and billing industry requirements Processes and monitors system claim status categories to ensure all transactions are captured for month end close Registers patients in the payment portal, as needed Reviews, processes, and obtains patient eligibility information to ensure accuracy and completion, including acquisition of authorization numbers, as needed Applies discounts to billing statements for patients eligible for the Sliding Fee Discount Program (SFDP), as needed Posts patient and insurance payments to account balance adjustments and write offs, as assigned Monitors and reports insurance payment denials, including coding issues and benefit changes Reviews and processes aging claims and denials, including claim tracers, corrected claim submissions, appeals, and consistent revenue flow Reviews and processes refunds and insurance recoupment requests Submits patient statements on cash accounts, as needed Processes monthly collection accounts for collection agencies, as needed Supports site related phone lines and voicemails; returns calls, as needed Discusses escalated billing inquiries with patients, third party payers, and/or sites to resolve account questions and/or problems Negotiates payment plans with patients, as needed Provides excellent customer service to patients and escalate issues to a supervisor, if needed Responds to site, insurance, and patient correspondences related to billing in a timely manner Attends billing training and team meetings Requirements Education/Experience High school diploma/GED required Medical Billing or Cording Certification from an accredited school required Two years' medical billing experience in a healthcare environment required Experience working in a specialty and/or FQHC community clinic is preferred Neighborhood Healthcare requires employees to be fully vaccinated (including a booster dose) against COVID-19 and demonstrate proof of vaccination/booster upon hire or receive approval for an exemption based on a medical reason, disability or religious belief.
Proof of booster dose will be contingent upon booster eligibility.
Pay Range:
$23.
06 - $28.
18 per hour, depending on experience.
.
Estimated Salary: $20 to $28 per hour based on qualifications.
1 Escondido, CA Escondido, CA Full-time Full-time $23.
06 - $28.
18 an hour $23.
06 - $28.
18 an hour 4 days ago 4 days ago 4 days ago Community health is about more than just vaccines and checkups.
It's about giving people the resources they need to live their best lives.
At Neighborhood, this is our vision:
a community where everyone is healthy and happy.
We're with you every step of the way, with the care you need for each of life's chapters.
At Neighborhood, we are Better Together.
As a private, non-profit 501(C) (3) community health organization, we serve over 414,000 medical, dental, and behavioral health visits from more than 90,000 people annually.
We do this in pursuit of our mission to improve the health and happiness of the communities we serve by providing quality care to all, regardless of situation or circumstance.
Since 1969, our employees have been making this mission a reality.
Regardless of the role, our team focuses on being compassionate, having integrity, being professional, always collaborating, and consistently going above and beyond.
If this sounds like an organization you would like to be a part of, we would love to meet you.
The Insurance Biller II works to support the mission and vision of Neighborhood Healthcare (NHC) by processing and supporting the medical billing process for patients and other funding sources.
This role will validate correct coding processes to ensure compliance with NHC, contracts, funding programs, and agencies.
Roles & Responsibilities Reviews progress notes to obtain payer measures and requirements information for proper submission compliance Reviews and obtains required information for missing and incomplete billings, such as missing DX, procedure codes, payer specific needs, eligibility screening, and coverage verification Creates and submits claims for clean billable charges and statements in compliance of correct coding initiatives and billing industry requirements Processes and monitors system claim status categories to ensure all transactions are captured for month end close Registers patients in the payment portal, as needed Reviews, processes, and obtains patient eligibility information to ensure accuracy and completion, including acquisition of authorization numbers, as needed Applies discounts to billing statements for patients eligible for the Sliding Fee Discount Program (SFDP), as needed Posts patient and insurance payments to account balance adjustments and write offs, as assigned Monitors and reports insurance payment denials, including coding issues and benefit changes Reviews and processes aging claims and denials, including claim tracers, corrected claim submissions, appeals, and consistent revenue flow Reviews and processes refunds and insurance recoupment requests Submits patient statements on cash accounts, as needed Processes monthly collection accounts for collection agencies, as needed Supports site related phone lines and voicemails; returns calls, as needed Discusses escalated billing inquiries with patients, third party payers, and/or sites to resolve account questions and/or problems Negotiates payment plans with patients, as needed Provides excellent customer service to patients and escalate issues to a supervisor, if needed Responds to site, insurance, and patient correspondences related to billing in a timely manner Attends billing training and team meetings Requirements Education/Experience High school diploma/GED required Medical Billing or Cording Certification from an accredited school required Two years' medical billing experience in a healthcare environment required Experience working in a specialty and/or FQHC community clinic is preferred Neighborhood Healthcare requires employees to be fully vaccinated (including a booster dose) against COVID-19 and demonstrate proof of vaccination/booster upon hire or receive approval for an exemption based on a medical reason, disability or religious belief.
Proof of booster dose will be contingent upon booster eligibility.
Pay Range:
$23.
06 - $28.
18 per hour, depending on experience.
.
Estimated Salary: $20 to $28 per hour based on qualifications.
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