Billing Specialist Job - Rancho Cucamonga - CBO, CA

Pacific Eye Institute is subject to and required to follow the California Department of Public Health’s COVID-19 vaccine order, dated August 5, 2021, for healthcare facilities within the State of California.

It is a job requirement that any candidate who accepts employment with UVP be fully vaccinated by their hire date, subject to submission of documentation of a medical condition or a sincerely held religious belief, practice or observance that may be entitled to a reasonable accommodation that does not pose an undue hardship on the operation of the business.

New Team Members will be required to submit their COVID-19 vaccine record prior to their hire date.

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Under the direction of the Revenue Cycle Manager, the Billing Specialist, a key position in the Revenue Cycle, manages the claims process, including accurate and timely claim creation, follow-up and correspondence with providers, insurance inquiries/correspondence.  The incumbent will assist in the clarification and development of process improvements and inquiries, assure payments related to patient services from all sources are reconciled timely in order to maximize revenues.
 
ESSENTIAL DUTIES AND RESPONSIBILITIES
  1. Ensure that charges for services provided are accurately billed to the appropriate insurance companies via electronic and paper claim submissions
  2. Reviews accounts receivable to maximize collections including and resubmitting previously denied claims
  3. Receive, retrieve, sort and post incoming payments
  4. Manage status of accounts and balances and identifying inconsistencies
  5. Send reminders for payments and contact clients when assigned
  6. Identifies over payments and creates refund request
  7. Accurately reviews and resolves assigned claim and clearinghouse edits and payer rejections to minimize lag days
  8. Answer questions and handle complaints from patients regarding bills
  9. Adherence to laws and best practices in regards to dealing with customers and data
  10. Other duties as assigned
 
SUPERVISORY RESPONSIBILITY
This position does not have any supervisory responsibility
 
JOB QUALIFICATIONS To perform the job successfully, an individual must be able to perform each essential duty and responsibility satisfactorily with or without reasonable accommodation.  The requirements below are representative of the minimum knowledge, skill, and/or ability required.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential duties and responsibilities. 
 
KNOWLEDGE/SKILLS/ABILITIES
  • Accurate and reliable in handling accounts and documents
  • High degree of attention to detail and trustworthiness
  • Strong listening and oral communication skills
  • Customer service oriented: friendly and positive attitude
  • Excellent organizational and administrative skills
 
  • Ability to multitask and to work independently within a team environment
  • Professional and reliable attitude; strong sense of initiative and motivation
  • Must be able to foster a positive and productive work environment
 
EDUCATION AND/OR EXPERIENCE
  • High school diploma or equivalent
  • Bilingual preferred (fluent in both English/Spanish)
  • Minimum 1 year of experience in health-care setting
  • Minimum 1 year working knowledge of CPT and ICD10 coding
  • Minimum 1 year of computer typing and data entry
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