Fqhc Medical Biller

Job Type
Full-time
Description
Job Summary
Universal Community Health Center, a not-for-profit organization with multiple clinics operating as a Federally Qualified Health Center dedicated to serving low income and under-served families in the South Los Angeles and East Los Angeles areas. UCHC is a full service health care provider with primary care services for children, adolescents and adults. The Billing Liaison will be the primary contact for patient billing related issues and for our contracted Billing Company.
Requirements
Primary Responsibilities

• Serves as the primary department contact with customers (staff, contracted billing, and physicians).
• Reviews requests regarding billing edits with input from customers.
• Reviews escalated requests from AR Specialist, makes account corrections, or obtains input from customers for instructions to the AR Specialist.
• Processes credit charge credits and debits.
• Researches patient inquiries regarding services by confirming charges via medical records or direct contact with applicable customers.
• Responsible for research and secure payment for insurance accounts:
• Contact patients regarding insurance related issues
• Responsible for research and secure payment for patient balances:
• Submit final letters to delinquent accounts
• Answer incoming patient calls
• Provide support to the clinics as needed during patient care hours
• Collection calls to patients to collect past due balances
• Process credit card payments and post within the patient billing system
• Set up payment plans for patients
• Review statements to ensure accuracy
• Acts as a liaison between patient, practice and insurance carrier regarding complaints and problems
• Correct open encounters list from non-providers
• Monitor Sliding Fee Patients, call for non-compliance, or send letters with which documents are missing to complete the process.
• Train staff on most common errors
• Follow up on credit work queues to maintain the undistributed credits, process refunds and research incorrect adjustments or payments
• Other duties as assigned by Supervisor

Staff Development

• Attend and lead Eligibility training and meetings as needed.
• Arrange at least quarterly staff meetings to educate and train staff on changes or errors to improve workflow efficiencies.
• Provide staff training that was developed or arranged by the corporation.
• Seeks opportunity to collaborate with other agencies to increase patient census
• Other duties as assigned by the CEO, CMO, COO.

Qualifications

• Bilingual English and Spanish, required
• FQHC Billing Experience: 1-2 Years
• Customer Service 1 year experience in outreach or equivalent
• Basic computer skills, Intermediate computer skills preferred
• Requires excellent verbal and written communication skills and customer relations skills
• Knowledge about health care insurances required (i.e., Covered CA, Family PACT, Unmatched HWLA, CHDP)
• Requires excellent presentation skills and ability to develop clear and effective outreach materials
• Requires the ability to independently organize field activities.
• Must have excellent presentation/public speaking and organizational skills.
• Strong community network a required
• Must be flexible and able to multi-task while working in a collaborative, team environment with a positive attitude
• Willing to travel as deemed necessary
• Valid California Drivers License in good standing with DMV required; current liability insurance

Competencies & Skills

• Ability to work independently with limited supervision and as part of a team.
• Ability to maintain the highly confidential nature of human resources information
• Ability to work in a fast-paced environment and complete multiple tasks at the same time
• Ability to effectively communicate with all levels of the organization to encourage cohesiveness
• Demonstrate resourcefulness and troubleshooting/problem solving
• Outstanding organizational skills and demonstrated ability to focus on detail
• Proficiency in Microsoft, Google Suite or similar software as used by the organization
• Excellent organizational skills and attention to detail
• Extensive knowledge of office management systems and procedures, and recommends process improvements
• Ability to operate general office equipment, and orient new employees
• Excellent written and verbal communication skills
• Ability to type 60 words a minute
• Ability to be approachable by staff
• Oral Communication - Speaks clearly and persuasively; Listens and gets clarification when necessary; Responds informatively to questions.
• Written Communication - Writes clearly and concisely; Edits work; Varies writing style to meet specific needs; Presents data effectively; Able to read and interpret written information.
• Planning/Organizing - Prioritizes and plans work activities; Uses time efficiently; Plans for additional resources; Sets goals and objectives.
• Professionalism - Approaches others in a polite and tactful manner; Maintains composure and reacts well under pressure; Treats others with respect and consideration; Accepts responsibility for own actions; Follows through on commitments.
• Quality - Demonstrates accuracy and thoroughness; Applies feedback to improve performance; Monitors own work to ensure quality.
• Adaptability - Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with occasional change, delays, or unexpected events.

Physical Requirement

• Physical effort which may include occasional light lifting to a 25 pound limit, and some bending, stooping or squatting. Considerable walking may be involved. The ability to sit or stand for extended periods of time is required.
• Flexibility to work in multiple locations throughout the week.
• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• While performing the duties of this job, the employee may be required to travel to all UCHC facilities as needed.
• Occasionally required to sit and walk.
• Finger dexterity required.
• Hand coordination required.
• Specific vision abilities required for this job include: close vision, distance vision, ability to adjust or focus.

Work Environment

• Exposure to adverse conditions.
• Exposure to extreme heat.
• Exposure to extreme cold.
• Exposure to wet and/or humid conditions.
• Exposure to moving mechanical parts.
• Exposure to high, precarious places.

Salary Description
$22 - $27/ Hour