Job description

Job Description

TITLE: BILLING CLERK (TEMPORARY)
EXEMPT/NON-EXEMPT: Non-exempt
REPORTS TO: Billing Manager
REVISION DATE: 03/7/2023

**THIS IS A TEMPORARY POSITION FULL-TIME ON-SITE M-F**

SUMMARY OF POSITION: Under the direction of the Billing Manager to ensure and maintain that County revenue reports are in accordance with standards / rules / regulations for reimbursement of services delivered.

DUTIES AND RESPONSIBILITIES:

• Review/process and submit claims for reimbursement.
• Review/process and Invoice 3rd party insurance claims like Medicare, HMO, Kaiser etc.
• Work on a daily basis with required Exym billing reports. (For example: No payer account for patient; Activities waiting for corrections; Not yet not approved, etc.)
• Verify and ensure client’s Medi-Cal and Third Party eligibility is up-to-date on a monthly basis.
• Manage Electronic Eligibility file 270 and 271 and follow Exym eligibility guidelines.
• Review, follow up and fix clients missing information in billing system.
• Assist and follow up with staff on billing errors, questions, requests for changes, client allocations, eligibility, and missing information need to close a case.
• Upload 837 file to DMH on a weekly basis.
• File EOB correspondence in client’s 3rd party chart.
• Report Denied claims findings to Billing Manager to make funding decisions.
• Review and update Patient Funding Source report submitted by support staff on a monthly basis to update eligibility findings like lost/gain/or changes.
• Assigned new cases funding information.
• Review and inform Billing Manager of client’s near Funding Source Age Limits to make necessary changes to funding depending on availability.
• Download on a weekly basis Client and Activities Reports for QA/Billing Department.
• Download and Upload EFT to update Exym Data Uploader.
• Other duties as assigned related to the position.

MINIMUM JOB REQUIREMENTS:

• High school graduate, and/or college course work a plus.
• One to two years data entry, billing experience with Medi-Cal and Third Party Insurance. Experience with Exym preferred.
• A minimum of 50wpm, 10key.

KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED:

• Ability to work well under pressure, strong analytical skill to solve billing problems, attention to detail, excellent customer service.
• Ability to meet deadlines.
• All employees, regardless of position, serve as role models for the clients who are served by our agency. Therefore, each employee must at all times be emotionally stable and able to function effectively with children, adolescents, and adults who may have mental or behavioral health problems. The staff must be able to demonstrate appropriate daily behavior, appropriate expression of emotions, as well as appropriate role modeling. Hostility, verbal aggression, unnecessary or inappropriate physical actions, and inappropriate emotional expression are not acceptable.

WORKING CONDITIONS AND PHYSICAL EFFORT:

• Work is normally performed in a typical interior/office work environment.
• Limited physical effort required.
• Work environment involves minimal exposure to physical risks, such as operating dangerous equipment or working with chemicals.

Job Types: Full-time, Temporary

Pay: $18.00 per hour

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Ability to commute/relocate:

• Los Angeles, CA 90017: Reliably commute or planning to relocate before starting work (Required)

Application Question(s):

• What is your WPM?

Education:

• High school or equivalent (Required)

Experience:

• Data entry: 1 year (Required)
• Medical billing: 1 year (Required)

Work Location: One location

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