Purpose:
To support back-office administration and collect payment for medical services rendered. Duties include reviewing insurance, receiving payment, and posting amounts to patient accounts, and keeping records of collection and status of accounts. Experience with CompuLink software is a huge plus!

Job Duties and Responsibilities:

Prepares and mails claim/billing paperwork to insurance companies and/or vision plans to collect payment for services rendered
Collects patient payments (cash, check, or card) and posts the payment to patient account
Generates statements daily to locate delinquent patient accounts and notifies patients of their account balance by mailing patient statements, preparing collection letters/final notices, and contacting them via telephone to solicit payment
Records the status of collection efforts in EMR and appropriate channels
Contacts the collection agency and prepares any necessary documents the agency may need to collect from the delinquent account
Designates service, facility, and professional fees to appropriate billing entity (i.e., to the insurance, medical group, patient, etc.)
Confers with insurance carriers to determine reasons for overdue payments and/or denied claims and to review the terms of coverage and services rendered
Provides any requested documentation to the insurance company to process payment, such as invoices, medical records, etc.
Receives and reviews capitation reports to update patient accounts with the amount received from the insurance company
Answers patient questions regarding accounts and resolves any discrepancies
Assists in keeping staff and physicians informed of any changes in insurance provisions
Supports Front Desk team by assisting with billing, claims, and/or authorization questions
Performs various administrative duties, such as preparing and filing correspondence, answering phones, recording address changes, and purging the records of deceased patients
Works overtime as necessary
Follows applicable policies and procedures and takes precautions to establish a safe work environment
Maintains strict patient protocols in accordance with practice policies/HIPAA requirements
Maintains a high level of professionalism with patients and works to establish a positive rapport
Performs other duties as assigned
Requirements:

Education: High School Diploma required; Associate/Bachelor's degree preferred
Experience: Minimum of 2 years of related medical billing experience required
Experience with submitting claims to insurance carriers such as HMO/IPA, PPO, Medicare, and Medi-Medi
Language: Ability to read, write, and communicate in English; Bilingual in Spanish, a plus
Technical Skills:
Knowledge of PM/EMR software required; Compulink preferred
Intermediate Microsoft Suite required
Knowledge of Medical Terminology required
License/Certification: Medical Billing & Coding certificate preferred
Work Environment: Work is performed in an office setting at a desk and computer. Must be able to sit for up to 8 hours, frequently reach with hands and arms, and repeat the same movements.

All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the California Fair Chance Act, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, and Los Angeles County Fair Chance Ordinance. For unincorporated Los Angeles county, to the extent our customers require a background check for certain positions, the Company faces a significant risk to its business operations and business reputation unless a review of criminal history is conducted for those specific job positions.