Billing Clerk II

About the role

Performs patient-related business office duties such as generating patient and payor bills, patient account inquiries, verification of medical coverage, patient refunds, cashiering, and collections. The Billing Clerk II directly communicates with patients, third-party payors, and providers regarding billing information. Handles bills and payors of mid-level complexity, referring to procedure manuals when necessary but primarily relying on experience and the ability to make independent judgments for billing decisions.

Responsibilities

• Completes all required documentation accurately, in a timely manner, and thoroughly in accordance with department standards; documentation complies with patients' insurance requirements.
• Files documents and updates electronic records accurately.
• Creates and sends routine and non-routine claim forms for assigned 3rd party payor sources, using independent judgment to resolve non-routine billing issues. Verifies information for accuracy and completeness.
• Works with accounts and payors of moderate complexity, requiring thorough knowledge of billing requirements.
• Follows up and resolves accounts receivables; collects payments from patients for self-pay or co-pay/deductible accounts.
• Performs data entry with accuracy and timeliness.
• Posts payments and updates accounts with denials. Follows up on pending requests and denials.
• Performs other duties as assigned.

Requirements

• At least 2 years experience with high-volume medical billing and 3rd party payors.
• CRT and ten-key experience preferred.
• Graduation from a related technical school, or equivalent experience in the medical field, preferred.
• High school diploma or GED equivalent required.
• Or equivalent combination of education and experience that provides the skills, knowledge, and ability to perform the essential job duties, and which meets any required state or federal certification requirements.
• Traveling between sites and other locations is occasionally required. Must have a valid California driver’s license, an automobile, and proof of minimum levels of car insurance as required under California law, although limits of $100,000 are recommended. An acceptable driving record is also required. California law requires all drivers to obtain a valid California driver’s license within ten days of establishing residency.

Reasonable accommodation may be provided on a case-by-case basis. Mileage and other reimbursement governed by policy.

Benefits

• Competitive salary with excellent benefits.
• Retirement plan with employer match.
• Paid time off, extended sick leave, and paid holidays.
• Medical, dental, vision, FSA, and life insurance.
• Employee discounts and wellness programs.

Information on our extensive benefits package can be found here.

Pay

$23.00 - $29.46 per hour.

Schedule

Regular full-time, Monday through Friday, 8:00 AM to 5:00 PM.

Location: 100 Broadway, Chula Vista, CA 91910.