Medical Government Biller

Medical Government Biller Under the supervision of the Billing Manager, the Medical Government Biller maximizes the amount and timeliness of receipt of billed fees on patient accounts for Medi-Cal, Medi-Care, Crossovers, and Medi-Cal/CHDP. Working proactively within the unit and interdepartmentally, this person maintains targets to achieve revenue targets based on billable encounters. Expectations include arriving on time and adhering to set schedule, ensuring timely billing and follow up for patient services, preparing accurate reports of patient charges, payments, and adjustments, maintaining open communication with supervisor and all staff, collecting and recording data accurately, working flexible or extended hours where necessary, demonstrating awareness and compliance of the corporate and organizational mission of Camarena Health to promote health care access for all members of the community, billing adjustments are minimal due to proactive, effective billing and follow up, and use of professionalism and best efforts in your position. Duties and responsibilities include initiating timely billing and earliest and greatest possible receipt of fees for Medi-Cal, Medi-Care, Crossovers, and CPSP, EAPC and hospital services, preparing electronic billing of Medi-Cal and Medi-Care claims and reviews to ensure accuracy, entering adjustments for Medi-Cal, Medi-Care, Crossovers, and if appropriate, generating refund requests, consistently following up and re-billing adjustments per Camarena Health standards so that revenue lost is minimal, maintaining targets; working with team to assure revenue generation is maximized, consistently preparing accurate monthly statistical reports that include number of patient charges, payments, adjustments, and log, preparing daily deposits accurately and timely, training and providing feedback to staff involved in preparation of records and transaction sheets to assure in accuracy of all such records, performing special data collection projects and other assignments within agreed upon timelines, preparing quarterly Medi-Care Credit Balance Report accurately and timely, preparing annual PPS reconciliation report, assisting in the preparation of Medi-Care cost reports, various other duties as assigned by supervisor, respecting and protecting information regarding patients and other team members and abiding by the rules of the Confidentiality Protocol, assisting and backs-up other Billing staff as necessary, participating in health center in-services, listening and respecting others' ideas, and abiding by Rules of Confidentiality. Minimum requirements include a high school diploma or equivalent, three to four years experience in medical third party billing and statistical record keeping; computerized data experience, excellent oral and written skills, mathematical accuracy, medical terminology and diagnostic indexing, revenue billing and collection problem-solving, telephone courtesy; customer-service oriented, modern office practices and procedures including email, intermediate computer skills, attention to detail, perseverance, timeliness, and excellent follow-through on work tasks, demonstrated good problem-solving skills, able to handle multiple tasks simultaneously, able to quickly build and maintain rapport with patients and providers of differing backgrounds; team player. Physical requirements include the ability to move up to 20 pounds and push up to 50 pounds (on wheels), the ability to hear staff on the phone and those who are served in-person, and speak clearly in order to communicate information to clients and staff, the ability to have vision that is adequate to read memos, a computer screen, personnel forms and clinical and administrative documents, high manual dexterity, the ability to reach above the shoulder level to work, must be able to bend, squat and sit, stand, stoop, crouching, reaching, kneeling, twisting/turning.