REIMBURSEMENT ASSISTANT - (Medical Biller/Billing Specialist) ** (Shift Mon - Fri 8:30am - 5:00pm. Medicare Billing and MyAvatar software experience preferred) **
**Hourly Range is $30 - $31.74 depending on years of experience. **
Medical Benefits (For all 30+hrs/week positions)
We offer a competitive package of employee benefits for 30 to 40-hour week positions. You will receive a defined contribution amount of up to $13,787.80 per year (prorated for part-time employees working less than 40 hours per week) to purchase the benefits of your choice on a cafeteria plan basis. Any amount of this defined contribution not used towards your benefits will be paid to you as taxable earnings. We offer a retirement plan with a generous employer match starting at 4% after one year of employment. Our paid time off is also more generous than many employers with vacation time accruing up to 25 days per year, 6 days of sick time per year and 12 paid holidays.
The benefits offered in our cafeteria plan are as follows:
- Medical benefits –Kaiser--ranging from $0 Deductible Plan with $15 Copay to $,3200 Deductible Plan with Health Savings Account. Sutter Health plans are also available from $0 Deductible Plan to $2,500 Deductible Plan.
- Dental benefits –Guardian: 1 dental HMO and 2 PPOs
- Vision benefits – 2 options from Guardian VSP: a standard vision plan and an enhanced vision plan
PRINCIPAL DUTIES AND RESPONSIBILITIES:
- Provides billing support functions including but not limited to:
- Verifies accuracy of payments;
- Researches denials;
- Prepares monthly accounts receivable reports;
- Provides initial review and conveys findings to manager;
- Investigates aged accounts receivables and rejection patterns;
- Prepares reports and conveys findings to manager;
- Handles telephone communications;
- Prioritize incoming requests and assigned tasks;
- Schedules appointments and meetings;
- Prepares purchase orders.
- Serves as backup contact for department on billing issues, questions and policies, communicates departmental concerns to manager for further analysis, resolution and/or direction.*
- Demonstrates ability to make numerical calculations.
- Demonstrates ability to type a variety of documents from rough draft or other sources using computer word processing, spreadsheets, database or other applications, and compose and type routine correspondence.
- Arranges for and provide meeting support including taking and transcribing minutes for distribution.
- Updates and maintain filing and record keeping systems, schedules and rosters, and databases. Including computer data entry.
- Handles routine information and/or inquiries on activities, processes, policies and procedures established programs and when required refer inquiries/calls to other staff as appropriate.
- Coordinates and direct activities of other staff in work unit. Perform duties of other reimbursement and support and finance staff in their absence or as assigned or required
- Processes request for services including necessary follow-up activities to clarify concerns or obtain information or otherwise ensure the quality and accuracy of service delivery and the data generated in order to bill.
OTHER DUTIES AND RESPONSIBILITIES:
- Participates in community, agency, team trainings and staff and agency meetings as required.*
- Train newly hired staff in reimbursement/billing processes.
- Perform other duties as assigned.
KNOWLEDGE, SKILL, AND ABILITIES REQUIRED: (E = Essential; D = Desired)
- High School diploma GED, or equivalent education and a minimum of one year (E) of responsible, full-time experience in a billing capacity (E) two years preferred (D). Associate’s degree or graduation from a recognized Business School or a related field (D).
- Proven typing speed of 40 net wpm (E); 50 net wpm (D); computer literacy; ability to use MS Office applications—Word; Excel; Outlook—and Windows-based databases at an intermediate level (E); familiarity with databases. (D)
- Familiarity using and maintaining a variety of common office equipment, such as fax machines, computer printers, photocopiers, and multi-line phone systems. (E)
- Effective oral and written communication skills, including appropriate English grammar, spelling and punctuation; legible handwriting or printing; proof and edit others’ and own work. (E)
- Demonstrated task management and execution skills and the ability to:
- Coordinate more than one task and be flexible; maintain timelines and deadlines; (E)
- Adapt to changing systems, methods, and environments; (E)
- Stay calm and reassuring in stressful situations and with agitated individuals in person and on the phone; (E)
- Work with minimal supervision and demonstrate resourcefulness in completion of tasks; (E)
- Recognize, investigate, troubleshoot, and resolve problems; (E)
- Respect and maintain confidentiality; (E)
- Work effectively with persons of different value systems, ethnicity, cultural backgrounds, language capabilities, and disabilities; (E)
- Exhibit exemplary customer service, compassion, and care in the execution of all duties and interactions. (E)
- Special Requirements: Must be able to meet and receive a criminal records clearance, as required by Title XXII, other licensing regulations, and Momentum practices. (E)
- A valid California Driver License, with access to a reliable vehicle/for driving a company vehicle, current proof of auto liability insurance, and a clean DMV record. (E)
- Physical requirements needed to perform the essential functions of this job, with or without accommodation: (E)
- Hearing and talking on telephone and in person; standing, walking, sitting, pinching and finger flexion are required constantly (over 2/3 of the workday); (E)
- Lifting, carrying, pushing, pulling, bending, stooping, crouching, kneeling and twisting are required occasionally (under 1/3 of the workday); (E)
- Balancing, climbing and crawling are generally not required.