Billing Specialist

Do you have a passion for helping people achieve their dreams of a growing family? An exciting opportunity awaits you with Northern California Fertility Medical Center (NCFMC), a leading fertility practice in the Northern California area! Our Sacramento location is seeking a full-time, on site, Billing Specialist.

General Summary of Duties: Responsible for the activities associated with the billing function. Responsible for using collection techniques to keep accounts receivable current including monitoring for delinquent payments.


Essential Functions:

1. Gathers data on daily, monthly and yearly basis to determine status of clinic patient accounts.
2. Posts payments.
3. Monitors private pay patient accounts for delinquent payments and determines course of action.
4. Follows clinic collection policy and guidelines and refers to collection agency upon physician approval.
5. Uses collection management reports to keep accounts receivable current.
6. Uses telephone, mail, and other techniques to aid in collection accounts receivable.
7. Runs routine insurance claim forms and statements weekly per cycle.
8. Appeals underpaid, denied, or pended claims.
9. Requests, send refund checks to patients/insurance companies.
10. Answers inquiries and correspondence from patients and insurance companies; develops collection letters.
11. Identifies and resolves patient billing complaints. Researches credit balances.
12. Back up to front office, as needed.
13. Other duties as assigned.

Experience: Minimum three years of collection experience in a health care organization.

Education: High School diploma. Associate degree in healthcare or business administration preferred.

Knowledge:

1. Knowledge of medical billing/collection practices, ICD-9 and CPT coding.
2. Knowledge of computer programs, spreadsheets, and applications.
3. Knowledge of basic medical coding and third-party operating procedures and practices.
4. Knowledge of legal regulatory government provisions.

Skills:

1. Skill in using computer programs, spreadsheets, and applications for credit entry, retrieval, and modification.
2. Skill in establishing and maintaining effective internal and external working relationships.

Abilities:

1. Ability to understand and interpret credit policies and regulations.
2. Ability to respond to patients on credit matters in courteous fashion.
3. Ability to examine medical documents for accuracy and completeness.
4. Ability to enter data accurately and examine insurance documents.
5. Ability to communicate effectively and clearly.

Environmental/Working Conditions:

Fast-paced conditions involving multiple tasks and personnel interface. Involves frequent in-person and telephone contact with patients. Work may be stressful at times. Interaction with others is constant and interruptive.

Physical/Mental Demands:

Work may require manual dexterity for telephone, computer keyboard, and office machine operation, stooping and bending to files and supplies, sitting for extended periods of time.

Ivy Fertility is an equal opportunity employer. Employment decisions are based on merit, qualifications, performance, and business needs. Ivy Fertility does not discriminate on the basis of race, color, religion, marital status, age, national origin, ancestry, physical or mental disability, medical condition, pregnancy, genetic information, sex, sexual orientation, gender identity or expression, veteran status, or any other status protected by applicable federal, state, or local law.