Accounts Receivable Specialist Altura Centers for Health - 3.4 Tulare, CA Job Details Full-time $27.00 - $38.90 an hour 14 hours ago Benefits Health insurance Dental insurance Paid time off Vision insurance 401(k) matching Life insurance Qualifications Bilingual Microsoft Word Spanish Microsoft Excel Management Medicare Managed care English Clinic Mid-level Microsoft Office High school diploma or

GED ICD-9 ICD-10 HCPCS

Analysis skills Certified Coding Specialist CPT coding Computer skills NextGen 10 key typing 1 year Associate's degree Grammar Experience Full Job Description Job Summary The Accounts Receivable Specialist is a billing position with a medical/dental billing background. Essential Functions, Knowledge, Skills and Abilities Verify the accuracy of billing data and revise any errors. Process insurance billing correspondence. Handling of insurance denials/claim follow up. Contact patients/insurance for any additional information requested to process/pay claims. Processes refunds insurance carriers. Participates in professional development activities. Performs in a professional manner and puts forth their best effort. Communicates openly and consistently with Director, lead and all staff. Maintains strictest confidentiality with patient and administrative information. Possesses the skills to work in our Practice Management System and Electronic Medical Records System (Nextgen EPM and Nextgen EHR) such as: Tasking/Worklog, Batch creating and posting, Patient demographic review and updating, Insurance review and updating, Correction of ICD-9, ICD-10, CPT and HCPCS, Rebilling of claims, Balance control process, Budget processing, Payment Unapplied Credits, cancelling of non-billable visits, Payment entry and correction and Basic reporting. Knowledge of ICD-9, ICD-10, CPT and HCPCS Coding Knowledge of Modifiers Claim form knowledge, HCFA, UB and ADA Understanding of how to file an Appeal/CIF. Ability to read and understand insurance eligibility responses. Ability to read and understand an explanation of benefits (EOB). Understanding of Medi-cal programs and eligibility requirements for programs such as Medi-cal PPS, CHDP, CCS, Family Pact, EWC, CPSP and Presumptive Eligibility. Understanding of Medicare Billing and payer guidelines. Understanding of Managed Care Billing and payer guidelines. Understanding of the organizations in house programs such as sliding fee. Skills to perform functionally on the computer. Develops trust and teamwork with staff and patients. Ability to respond to common inquires or complaints from staff, patients, and regulatory agencies. Ability to interact with management and staff in a professional manner. Skill in greeting patients/venders/Altura employees and answering the telephone in a pleasant and helpful manner. Ability to speak clearly and concisely. Ability to listen and comprehend the patient's responses. Ability to read, understands, and follows oral and written instruction. Knowledge of simple mathematical computations. Must be able to type 25 wpm and 10-key. Knowledge of clinic policy and procedures related to this position. Knowledge of grammar, spelling and punctuation. Skills in operating a computer, telephone, photocopy machine, calculator, etc. Knowledge in software programs - Microsoft office, Excel and Word. Ability to sort and file materials correctly by alphabetic or numeric systems. Ability to establish and maintain effective working relationships with patients, staff and the public. Ability to react calmly and effectively in emergency situations. Demonstration of flexibility with schedules and work assignments to meet the needs of the clinic.

Required Education and Experience Minimum Education:

High school graduate or GED equivalent required. Minimum of one-year experience medical billing in a health care setting. Preferred Education and Experience Associate degree or greater in business or related field preferred. Bilingual in English and Spanish is preferred Other Duties 1. Maintains a positive and respectful attitude while delivering excellent "customer service". 2. Have excellent verbal, written and presentation skills. 3. Strong attention to detail and strong analytical skills. 4. Communicates with fellow employees, management and supervised employees (if any) on a regular basis. 5. Self-motivates to perform department tasks as needed. 6. Maintains the strictest confidentiality. 7. Performs in a professional manner and puts forth their best effort. 8. Communicates openly and consistently with Supervisor(s) and all staff. 9. Performs related work as required. 10. Demonstrates ability to work harmoniously with others to get a job done. 11. Attitude promotes positive work environment. 12. Respects others co-workers, business partners and patients. 13. Resolves issues and conflicts at the onset by going to the source whenever possible. 15. Communicates effectively with team members and provides constructive suggestions to improve team performance. Work Environment Office environment with controlled temperature. Position Type/Expected Hours of Work This is a full-time position. Days and hours of work are Monday through Friday, 8:00 a.m. to 5:00 p.m. Occasional evening and weekend work may be required as job duties demand. Travel Little to no travel is expected for this position. Typical example of travel would be driving to Altura's various clinic locations. Altura Centers for Health retains the right to change or modify job duties at any time. The above job description is not all encompassing. Needs and requirements may vary according to business needs or necessity. Altura Centers for Health is an employer "at-will" and nothing in this document is intended to, nor does, alter the existing "at-will" employment relationship.

Job Type:

Full-time Pay:

$27.00 - $38.90 per hour Expected hours: 40 per week

Benefits:

401(k) matching Dental insurance Health insurance Life insurance Paid time off Vision insurance

Schedule:

8 hour shift

Work Location:

In person