Billing Rep II

CommonSpirit Health
  • Rancho Cordova, CA
    3 days ago

    Job Description

    Job Summary and Responsibilities

    As our Billing Rep II, you will help our patients and providers streamline the billing and insurance process so they can focus on patient care and financial well-being.

    Every day you will review and process patient accounts, insurance claims, and payment postings. You will be expected to ensure accurate and timely billing, follow up on denied claims, and maintain patient confidentiality.

    To be successful in this role, you must have strong attention to detail, knowledge of medical billing and coding, and experience with healthcare insurance.

    As a remote employee, we will provide you with the equipment needed to work from home, including a laptop, docking station, dual monitors, and accessories.

    This position is work from home within the Greater Sacramento, CA region.

    • Demonstrate a solid understanding of your role as an Accounts Receivable Representative II including: Read & interpret invoice details, Patient registration in IDX, Rejection posting in IDX, Knowledge of medical records systems, Ability to navigate Insurance payer web sites, Read & interpret EOB''s from various insurance carriers, FSC knowledge, Rules of FSC Flipping, Rules of Charge Corrections, Understanding of claim edits
    • Resolve claim edits
    • Ability to manage multiple expectations, tasks and deadlines effectively.
    • Timely review of electronic communication to stay informed of changes that affect your position.
    • Research and analyze account thoroughly to determine appropriate action(s) to be taken.
    • Proactively organize and manage case load to ensure follow through on claims that did not reach resolution at time of initial processing.

    Job Requirements

    Required

    • High School Diploma or GED
    • Three (3) years experience working in healthcare Rev Cycle or a Professional Medical Office
    • Knowledge of physician billing regulations
    • Understanding of professional claims and billing procedures
    • Knowledge of Federal and State regulations applicable to Government and Insurance Collections
    • Excellent written and verbal communication skills
    • Working knowledge of computers and demonstrated proficiency in using e-mail systems, Internet and MS office software applications with emphasis in Word and Excel

    Preferred

    • Associates in Healthcare Administration or related field
    • Five (5) years experience working in healthcare Rev Cycle or a Professional Medical Office
    • One (1) year experience with IDX Practice management system and Cerner EHR
    • Knowledge of Google Suite

    Where You''ll Work

    Dignity Health Medical Foundation, established in 1993, is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is an affiliate of Dignity Health - one of the largest health systems in the nation - with hospitals and care centers in California, Arizona and Nevada. Today, Dignity Health Medical Foundation works hand-in-hand with physicians and providers throughout California to provide comprehensive health care services to the many communities we serve. As Dignity Health Medical Foundation continues to grow and establish new premier care centers, we provide increasing support and investment in the latest technologies, finest physicians and state-of-the-art medical facilities. We strive to create purposeful work settings where staff can provide great care, while advancing in knowledge and experience through challenging work assignments and stimulating relationships. Our staff is well-trained and highly skilled, qualities that are vital to maintaining excellence in care and service.

    Total Rewards

    Depending on the position offered, CommonSpirit Health offers a generous benefit package, including but not limited to medical, prescription drug, dental, vision plans, life insurance, paid time off (full-time benefit eligible team members may receive a minimum of 14 paid time off days, including holidays annually), tuition reimbursement, retirement plan benefit(s) including, but not limited to, 401(k), 403(b), and other defined benefits offerings, as may be amended from time to time. For more information, please visit our Total Rewards.

    Unless directed by a Collective Bargaining Agreement, applications for this position will be considered on a rolling basis. CommonSpirit Health cannot anticipate the date by which a successful candidate may be identified.

    Numbers & Facts

    LocationRancho Cordova, CA

    Skills

    • Accounts Receivableunmatched
    • Analysis Skillsunmatched
    • Billingunmatched
    • Cernerunmatched
    • Communication Skillsunmatched
    • Dental Insuranceunmatched
    • Detail Orientedunmatched
    • Email Technologyunmatched
    • Emerging Technologyunmatched
    • Federal Laws and Regulationsunmatched
    • Follow Throughunmatched
    • Government Regulationsunmatched
    • Health Insuranceunmatched
    • Healthcareunmatched
    • Healthcare Administrationunmatched
    • High School Diplomaunmatched
    • Hospitalunmatched
    • IDXunmatched
    • Insuranceunmatched
    • Insurance Claimsunmatched
    • Laptop PCunmatched
    • Life Insuranceunmatched
    • Medical Billingunmatched
    • Medical Codingunmatched
    • Medical Officeunmatched
    • Medical Record Systemunmatched
    • Microsoft Excelunmatched
    • Microsoft Officeunmatched
    • Microsoft Wordunmatched
    • Nonprofitunmatched
    • Patient Careunmatched
    • Patient Confidentialityunmatched
    • Patient Registrationunmatched
    • Payment Postingunmatched
    • Prescription Drugsunmatched
    • Presentation/Verbal Skillsunmatched
    • Regulationsunmatched
    • Standards of Careunmatched
    • State Laws and Regulationsunmatched
    • Time Managementunmatched
    • Tuition Reimbursementunmatched
    • Vision Planunmatched
    • Work From Homeunmatched
    • Writing Skillsunmatched

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