Part-Time Dispatcher II (Limited Term)

Description

Duties may include, but are not limited to the following:

• Reviews and analyzes bills as they come off the system, and bills/transmits them in a timely manner to the appropriate intermediary.
• Ensures accuracy and compliance with billing, coding and follow-up requirements and identifies overpayments and lack of documentation issues.
• Maintains their work queue with backlog to 46 hours of receipt only.
• Reviews and follows up on denial codes transmitted to providers for potential reimbursement on claims.
• Provides information to payors and insurers that VCMC receives reimbursement.
• Gathers, compiles, and analyzes billing and statistical analysis.
• Prepares, bills, claims, and transmits on a timely basis.
• Provides advanced-level billing and supervision as a lead person to the respective Medicare and/or Medi-Cal Department.
• Reviews submittals to ensure accurate transmission and timely payment.
• Reviews bulletins to identify new programs that may affect VCMC reimbursement for Medi-Cal and/or Medicare and prepares reports.
• Serves as lead biller/specialist to the department.

Qualifications

• Three (3) years of professional billing experience including preparation of financial statements; OR, two (2) years as a Billing Specialist II for the County of Ventura.
• The required knowledge, skills, and abilities can typically be obtained by hands-on working knowledge and experience in a medical complex comparable to Ventura County Medical Center (VCMC) and affiliated clinics.
• Desirable/Preferrable: Currently employed as a Medical Billing Specialist II with extensive billing knowledge, inpatient, outpatient, and federal mandates. An Associate or Bachelors degree in a business related field desirable but not required.