Billing Specialist

2026SCCHAllRightsReservedBILLINGSPECIALISTJOBANNOUCEMENTSantaCruzCommunityHealth(SCCH)isamulti-site,FederallyQualifiedHealthCenter(FQHC)servingSantaCruzCountyresidents.SCCHbeganasawomenshealthcollectivein1974withthemissiontoimprovethehealthofourpatientsandthecommunityandadvocatethefeministgoalsofsocial,political,andeconomicequality.Now,morethan50yearslater,weservethatsamemissionatourthreeclinicsites:theSantaCruzWomensHealthCenterindowntownSantaCruzservingwomenandchildren;theLiveOakHealthCenterservingeveryone;andtheSantaCruzMountainHealthCenterprovidingappropriateandexpandedaccesstocareforourpatientsintheSanLorenzoValley.Drivenbyourcommitmenttohealthcareasahumanright,SCCHisaleadingnon-profitproviderofferingcomprehensivehealthservicestoourpatients,regardlessoftheirabilitytopay.Wehavebeenrecognizedinthecommunityasaleaderindeliveringhigh-quality,innovativecare,andweareactiveinlocal,state,andnationaladvocacyworkthatempowersourpatientsandcommunitytobehealthy,happy,andsuccessful.SCCHhasadiversepatientpopulationandanengagingandfriendlyworkenvironment.Ourcaringandcommittedstaffworkasateamtofulfillourmissionsothatallourpatientshaveaccesstoquality,whole-personhealthcare.POSITIONSUMMARY:Billersareresponsibleforperformingbillingandcollectionsdutieswithinestablishedtimelines.Responsibilitiesincludeperformingdailybillingdepartmentfunctionsincludingclaimcreationandsubmission;paymentposting;accuratedatacollectionandentry;intra-cliniccommunication;andcustomerservice.Billersareexpectedtodemonstrateexceptionalpatientrelations,organizational,andtimemanagementskills.Classification:Full-time,Hourly,Non-ExemptLocation:AdministrationReportsto:Billing&CollectionsManagerHours:8:00AM-5:00PMLanguage:BilingualEnglish/SpanishPreferredPayRange:$32.36-$40.85perhour,DOE+$0.50SpanishBilingualDifferentialCOREJOBRESPONSIBILITES:ESSENTIALFUNCTIONSINCLUDEBUTARENOTLIMITEDTO:•MaintainthecomplianceoftheBillingDepartmentwithhealthcenterpracticesandlocal,state,andfederalregulations•Effectivelyusingourelectronichealthrecordssystem2026SCCHAllRightsReserved•Preparingandsendingelectronicthird-partybillingandperformpostingchargesandcompletionofclaimstopayersinatimelymanner•Reviewmedicalproceduresasdocumentedbyproviders•Coordinateinsurancereimbursementofcareproviders•Resolveclaimdenialstoensuremaximumreimbursementforservicesprovided•Trackbillingandmonitorallcollections•Actsasaliaisonbetweenthefacilityandpaymentparties•Compileandtrackoutstandingbalancesowedtothehealthcenters•Maintainpaymentrecordsofallpatients•Makepaymentarrangementsandcollectonpastdueaccounts•Negotiatingsliding-scalefeepayments•Explainingagencybillingpoliciestostaffandpatients•Liaisebetweencollectionagencies,medicalfacilities,andcourts•Providepatient-centeredcustomerservice•Anticipatepatientsneedsanddeliverservicesandrespondtopatientsinatimely,accurate,andfriendlymanner•Advocateforcarethatbestservesthepatient•AssisttomeetorexceedBillingDepartmentgoalsasestablishedbytheRevenueCycleDirectorGENERALJOBPERFORMANCESTANDARDS:KNOWLEDGEOFWORK-Possesandutilizesknowledgeofthejobwhichisessentialtoperformthespecificfunctionsandrelatedwork.QUANTITYOFWORK-Accomplishesanappropriatevolumeofsatisfactoryworkundernormalconditions.Abilitytoproduceresults.QUALITYOFWORK-Consistentlydemonstratesaccuracy,thoroughness,neatnessandd-ependabilitytoproduceworkwithinacceptablestandards.TIMELINESS-Completesassignmentsonoraheadofschedule.ABILITYTOLEARNNEWDUTIES-Interprets,learnsandrespondstoinstructionsfornewsituations,proceduresormethods.JUDGEMENTANDCOMMONSENSE-Decisions/actionsaresound,includingsafetyaware-ness.COOPERATION-Willingtoworkwithotherstowardcommongoals.COMMUNICATIONS-Demonstratesrelevanceandclarityofwrittenandoralexpression.Effectivenessinexchangingideasandinformation.INITIATIVE-Abilitytooriginate,developorcreatenewideasortakestepstogetthingsdone.PROBLEMSOLVING-Identifiesandevaluatesalternatesolutionsandselectionofthemostappropriatecourseofaction.ATTENDANCEANDPUNCTUALITY-Showsdailyabilitytobeatworkatscheduledtime,includingbeingpreparedtoworkontimeafterbreaks,mealperiods,andotherauthorizedabsencesfromwork.2026SCCHAllRightsReservedQUALIFICATIONS:MinimumRequirements:•TwoYearsofrecentmedicalbillingexperienceinaphysiciansofficeorclinicsetting•ProficiencyinEpic(Resolute)EHRSystem•StrongKnowledgeofmedicalterminology,CPT(CurrentProceduralTerminology)andICD-10CodesPreferredQualifications:•BilingualEnglish/Spanish•CertifiedProceduralCoderincludesCCS,CPC-H,CPCCertification,ordocumentedevidenceofcontinuedcodingeducation•ExperienceworkinginFQHCandCommunityHealthEnvironments•ExperiencewithMedi-Cal,Medicare,StateprogramsandprivateinsuranceBENEFITSTHATSUPPORTYOU:Weofferacompetitiveandcomprehensivebenefitspackagetosupportemployeewell-beingandwork-lifebalance.Benefitsareavailabletoemployeesworking20ormorehoursperweek,andinclude:•Employer-subsidizedmedical,dental,vision,andlifeinsurance•Optionalcoverage:petinsuranceandothersupplementalplans•Coveragebeginsthefirstofthemonthafter30daysofemployment•Paidtimeoffandholidaysstartingondayone•401(k)planwith2%automaticenrollmentand2%employermatch•Wellnessreimbursementandtelecommutingstipend(asapplicable)•Licenseandcertificationfeereimbursement(asapplicable)InternalStaff:Internalstaffwhotransitionintothispositionwillretaintheircurrentbenefits,tenure,PTOaccruals,andretirementmatchingasapplicable,withnolapseincoverageSantaCruzCommunityHealthisanEqualOpportunityEmployer(W/M/V/D).