Billing Specialist

Job Title

Billing Specialist

Overview

At Vista Community Clinic (VCC), we believe healthcare is more than medicine, it's about hope, community, and impact. For over 50 years, we've been a leader in the community clinic movement, growing from a small volunteer-driven effort in Vista to a nationally recognized network of state-of-the-art clinics across San Diego, Orange, Los Angeles, and Riverside counties. Today VCC has 14 clinics serving over 70,000 patients annually, we continue our mission of delivering exceptional, patient-centered care where it's needed most.

As a private, non-profit, multi-specialty outpatient clinic, VCC provides more than healthcare, we provide opportunity. Here your skills are celebrated, your growth is supported and your work makes a difference. We know that our success is a direct result of the exceptional talents and dedication of our employees.

Benefits include: Competitive compensation & benefits Medical, dental, vision Company-paid life insurance Flexible spending accounts 403(b) retirement plan

Why VCC?

• Winner of the 2025 HRSA Gold Medal for Outstanding Care, placing VCC among the top 10% of Federally Qualified Health Centers in the U.S.

• Recognized by HRSA as a National Quality Leader in Behavioral Health and Diabetes and for excellence in Preventive Health and Health IT.

• A robust training & development culture to help you grow and advance your career.

• A workplace built on respect, collaboration and passion for care.

Responsibilities

Manage all billing-related aspects for assigned payors, including billing set-up in the NextGen system and processing full-cycle billing to all payers including original billing, collections, denials and re-billing, and account maintenance/ accounts receivable and all Claim edits follow up.

• Review accounts for payer or patient follow-up
• Perform various accounts receivable actions: contacting payers by Web and/or by phone
• Billing, correcting and resubmitting claims to government and third party payers
• Follow up on all unpaid accounts receivable and perform appeals when applicable
• Process retro insurance billing
• Verify insurance coverage for patients
• Answer billing inquiries

Qualifications

Minimum

• High school graduate or equivalent
• Six years' recent and wide spectrum related medical billing experience

Preferred

• Medi-Cal experience
• Billing experience in FQHC-Community Health Center
• Medical billing and/or coding certification
• Next Gen experience
• High level of initiative and drive
• Excellent organizational, communication and time management skills

Required Skills/Knowledge/Abilities

• Strong computer knowledge; proficiency with Excel, Word and Outlook
• Attention to detail and accuracy

Pay Range $21.00 - $28.72 depending on experience

Hybrid Remote Opportunity Available - must be to work in office on a regular basis during the week.