Temp Claims Specialist

Job Summary

Responsible for ensuring timely and accurate billing is submitted to the appropriate third-party payer. This role is responsible for PPCCC's geographic area (Thousand Oaks to San Luis Obispo) health center billing.

Essential Functions

• Validates charges from pending charges report, with EHR and PM systems within NextGen
• Creates claims into Rosetta holding tank for processing to Claim Remedy
• Identifies issues that need improvements and communicates with Center Director or Clinician

Qualifications

• Thorough knowledge of third party insurance billing, including Medi-Cal, Medicare, and private insurance
• Solid understanding of CPT-4 and ICD-9/10 codes
• Strong work ethic, able to work independently, self-motivated
• Working knowledge of both Electronic Health Records and Practice Management processes, preferably in using NextGen
• Strong oral and written communication skills required
• Must be detail oriented, organized, and able to meet deadlines
• Must have a valid driver's license as this position requires travel to workshops and other Planned Parenthood sites including but not limited to PPCCC's geographic area

Education and Experience

• High School diploma or equivalent
• Experience with NextGen Practice Management Application is required
• Minimum 2 years billing experience in a clinic work environment
• Knowledge of FamilyPACT, MediCal and commercial billing

Pay

The starting salary for this position is $29.86/hour with an opportunity for an increase after six months of employment. As part of our commitment to pay equity, PPCCC does not negotiate salaries. Pay Differential: $1.00/hour bilingual Spanish/English differential pay is offered upon passing the language assessment test.