Billing Representative

Job DetailsJob Location: Long Beach - Long Beach, CA 90805Salary Range: $25.00 - $27.00 HourlyPurpose: To collect payment for medical services rendered. Duties include reviewing insurance, receiving payment, posting amounts to patient accounts, keeping records of collection and status of accounts.  Assist in the management of the revenue cycle by submitting accurate claims to insurance companies, track payments, resolve denials and ensure healthcare compliance. Job Duties and Responsibilities: Prepares and mails claim/billing paperwork to insurance companies and/or vision plans to collect payment for services rendered Collects patient payments (cash, check, or card) and posts the payment to patient account Generates statements daily to locate delinquent patient accounts and notifies patients of their account balance by mailing patient statements, preparing collection letters/final notices, and contacting them via telephone to solicit payment Records the status of collection efforts in Practices Electronic Medical Records (EMR) system Contact the collection agency and prepare any necessary documents the agency may need to collect from the delinquent account Review patient records to verify charges, ensuring coding and adhere to compliance guidelines Designates service, facility, and professional fees to appropriate billing entity (i.e. to the insurance, medical group, patient, etc.) Confers with insurance carriers to determine reasons for overdue payments and/or denied claims and to review the terms of coverage and services rendered Provide any requested documentation to the insurance company to process payment, such as invoices, medical records, etc. Receives and reviews capitation reports to update patient accounts with the amount received from the insurance company Answers patient questions regarding accounts and resolves any inconsistencies Acts as a liaison between providers, insurance companies, and patients regarding billing discrepancies Assists in keeping staff and physicians informed of any changes in insurance provisions Supports Front Desk team by assisting with billing, claims, and/or authorization questions Performs various administrative duties, such as preparing and filing correspondence, answering phones, recording address changes, and purging the records of deceased patients Works overtime as necessary Follows applicable policies and procedures and takes precautions to establish a safe work environment Maintains strict patient protocols in accordance with practice policies/ HIPAA requirements Maintains a high level of professionalism with patients and works to establish a positive rapport Performs other duties as assigned   QualificationsRequirements: Education: High School Diploma required; Associate/Bachelor’s degree preferred Experience: Minimum of 2 years of related medical billing experience required;  Experience with submitting claims to insurance carriers such as HMO/IPA, PPO, Medicare, and Medi-Medi Language: Ability to read, write, and communicate in English; Bilingual in Spanish, a plus Knowledge of PM/EMR software required; Compulink preferred Intermediate Microsoft Suite required Knowledge of Medical Terminology required License/Certification: Medical Billing & Coding certificate preferred  Work is performed in an office setting at a desk and computer. Must be able to sit for up to 8 hours, frequently reach with hands and arms, and repeat the same movements. Physical Requirements:  The Billing Representative is frequently required to answer and operate a telephone, work a computer, file and retrieve written and digital documents. The physical demands include, but are not limited to, standing, sitting up to 8- hours a day, walking, lifting, carrying, reaching, handling, kneeling, crouching, and bending.  Organizational Skills: The candidate must be detailed oriented, and have good analytical and exceptional organization skills. Ability to work on multiple tasks and meet deadlines. Communication: This position may be responsible for autonomously communicating with doctors, patients, and staff. Candidate must demonstrate a positive, friendly, and courteous demeanor toward staff and patients, as well as always communicate professionally, both verbally and in writing. Problem-Solving Skills: Candidate must possess abilities to problem solve, prioritize, and follow through completely with assigned tasks. Candidate must possess analytical skills to examine billing information for accuracy and completeness. Candidate must have the ability to work in a fast-paced environment. Ability to work independently with minimal supervision. Job Location: 3300 E. South Street, Suite 102, Lakewood, CA 90805 Pay Range: $25-28 Schedule: Monday – Friday; 8:00 AM to 4:30 PM; daily schedule pending day-to-day department needs “SoCal Eye is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity or expression, pregnancy, age, national origin, disability status, genetic information, protected veteran status, or any other characteristic protected by law.”