Medical Biller

Job Description

Job Description

All for Health, Health for All, Inc. (AFH) is a nonprofit Federally Qualified Health Center (FQHC) and a certified Patient-Centered Medical Home. For over 40 years, we have provided high-quality, accessible healthcare services to medically underserved and diverse populations across Los Angeles County, Orange County, and the state of Nevada. Our integrated, team-based model includes general family practice, pediatrics, behavioral health, mental health services, and adult day health care. In the past year alone, we served over 30,000 patients across more than 90,000 visits at a dozen clinic locations.

AFH is currently seeking dedicated and compassionate individuals to join our mission-driven team. We are hiring Full-Time medical biller/collector.

SUMMARY

An individual must be able to perform each essential duty satisfactorily which includes billing, posting payments, answering patient questions and concerns by phone or personally in fast-paced, patient-oriented, clinical environment.

Essential Duties and Responsibilities

• Review patient encounters for accuracy and completeness and obtain any missing information.
• Accurately audit encounters of all-payer sources and generate claims for electronic or paper claims for submission, daily to ensure timely collections.
• All accounts are to be reviewed for insurance or patient follow-up.
• Review and follow-up on unpaid EOB’s & RAs to ensure follow-up is done on a timely basis.
• Identify and bill secondary or tertiary insurances.
• Post payments. Check each insurance payment for accuracy and compliance with contract discounts.
• Answer all patient or insurance telephone inquiries pertaining to assigned accounts.
• Capitation Payments & EOBs: Post capitation payments and complete various excel reports which break down capitation payments by providers and payers.
• Process refund requests on a weekly basis.
• Perform electronic claims transmissions on a weekly basis, preferably on every Thursdays.
• All other duties assigned by your supervisor

QUALIFICATIONS

• High School Graduate/GED
• Billing and Medical Terminology courses strongly recommended
• Up to and including 2 (two) years’ experience
• Working knowledge of contracted insurance plans
• Experience working with the public
• Ability to maintain an outgoing, friendly attitude with patients and staff even under pressure
• Ability to work with interruptions and manage multiple priorities
• Ability to speak, understand and write grammatically correct English
• Accuracy in spelling and basic math
• Ability to write clearly, concisely, logically, and legibly
• Working knowledge of general office duties
• Typing at least 35 wpm and 10key adding machine by touch
• Ability to work in a fast-paced environment

An individual must be able to perform each essential duty satisfactorily which includes billing, posting payments, answering patient questions and concerns by phone or personally in fast-paced, patient-oriented, clinical environment.

• High School Graduate/GED
• Billing and Medical Terminology courses strongly recommended
• Up to and including 2-3 years’ experience

All for Health, Health for All, Inc. (AFH) has provided health services to the medically underserved and indigent community for over 40 years. AFH is a nonprofit Federally Qualified Health Center and certified Patient-Centered Medical Home whose mission is to eliminate disparities in access to health care for the underserved multi-ethnic diverse population of California and Nevada States. AFH’s services encompass general family practice, pediatric care, mental health, and behavioral health services as well as adult day health care services.

Company Description

All for Health, Health for All, Inc. (AFH) has provided health services to the medically underserved and indigent community for over 40 years. AFH is a nonprofit Federally Qualified Health Center and certified Patient-Centered Medical Home whose mission is to eliminate disparities in access to health care for the underserved multi-ethnic diverse population of California and Nevada States. AFH’s services encompass general family practice, pediatric care, mental health, and behavioral health services as well as adult day health care services.