Medical Biller I

Job Description

Job Description

Description:

Job Title: Biller I

Salary: $23 - $26 per hour DOE

Location: Tustin, CA

Openings: 1 Full-time

Position Purpose:

The Biller I position is an entry-level biller responsible for processing basic billing duties at Families Together of Orange County. The position requires some experience in at least one of the specialties listed below with the understanding that additional training will be required to gain experience of the other listed specialties. This role focuses on learning multi-specialty billing and its workflows, system navigation, and foundational claim processing under close supervision. This position supports all service lines directly or during special projects, including but not limited to:

· Medical

· Behavioral Health

· Medical Specialties

FTOC’s Expectations of all Employees

• Adheres to all FTOC Policies and Procedures.
• Providing the upmost customer service experience to all clients
• Conducts self in a manner that always represents FTOC’s core values.
• Maintains a positive and respectful attitude with all work-related contacts.
• Communicates regularly with immediate supervisor about Departmental and FTOC concerns.
• Consistently reports to work as scheduled and in a timely manner prepared to perform the duties of the position.
• Meets productivity standards and performs duties as workload necessitates.
• Ability to train on all Learning Management Systems (LMS) by self-learning models from FTOC’s EMR.

Core Duties and responsibilities, include but are not limited to:

1. Assist with daily claim submission across various service lines

2. Data entry of all patient demographics and insurance information in EMR/billing systems

3. Support charge entry and basic claim scrubbing

4. Review basic claim rejections and assist with corrections

5. Track claim status using payer portals and clearinghouse tools

6. Post payments

7. Assist in identifying simple denial reasons (eligibility, missing information, duplicates)

8. Works under close supervision of other team members

9. Focus on learning systems, workflows, and payer rules

10. Develops foundational billing knowledge of services provided by FTOC

11. Strong attention to detail is mandatory

12. Ability to follow structured workflows

13. Take initiative and be proactive

14. Open to learning and constructive feedback

15. All other duties as assigned

*This job description in no way states or implies that these are the only duties to be performed by the employee. He or she will be required to follow any other instructions and to perform other duties, within scope, as assigned by his or her supervisor.

Teamwork and Interpersonal Skills:

• Displays an awareness of others' needs and consistently acts in their best interests.
• Exhibits courtesy, mutual respect, and compassion in all interactions with others.
• Takes initiative to propose constructive solutions to challenges.
• Recognizes and respects differences while actively seeking more effective communication approaches.
• Demonstrates a positive and professional response to changes and challenges.
• Nurtures positive working relationships and contributes to a collaborative work environment.
• Exhibits effective teamwork, working cohesively to support the organization in achieving its goals and objectives.
• Adapts smoothly to shifting workplace priorities.
• Attends and actively participates in scheduled meetings, whether weekly, bi-weekly, or monthly.

Education, Qualifications, and Experience:

· Billing or Coder Certification

· 0–2 years in medical billing or healthcare administrative support

. EClinical Works experience ( Required )

. Experience working within a FQHC ( Required )

· Basic understanding of medical billing concepts

· Able to grasp new concepts quickly and efficiently

· Experience utilizing billing systems (EMR/EHR) efficiently

Work Schedule:

• FTOC is an in-person organization first, and foremost. Employees are expected to be on-site for their scheduled shifts.
• Hours of operation are Monday to Friday 8 a.m. to 8 p.m., however, employee schedules vary, depending on organizational, staffing, community, and patient needs. As such, FTOC may need to modify work schedules to meet such needs.
• Holidays and weekends may be required depending on an employee’s department due to organizational, staffing, community, and patient needs as FTOC continues to grow and expand work days and hours.
• Overtime may also occur due to organizational, staffing, community, and patient needs.

Work Location:

• Tustin, CA
• While employees may be assigned a primary site (Tustin, Garden Grove, Fountain Valley, Wellness Center, Mobile Units, Treehaven, Magnolia, Telehealth, etc.), employees may be required to temporarily fill in at another site based on organizational, staffing, community, and patient needs.

Travel Requirements:

• Occasional travel will be required. Employees must be able to travel to FTOC sites as needed, including with short notice.

Physical Demands and Working Conditions:

• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• While performing the duties of this job, the employee may be required to drive to FTOC facilities as needed. The ability to sit for extended periods of time, and the ability to occasionally lift and/or move up to 25 pounds.