Training and Experience:
High school diploma or GED required; Certified Professional Coder and/or Certified Professional Biller preferred. Must have at least three years of direct medical billing experience using the practice management system of an electronic health system.
Dental and behavioral health services coding experience preferred. Must have a high level of accuracy and attention to detail to satisfy job requirements. Must have excellent analytical, problem solving and time management skills. Possess excellent organizational skills. Federally Qualified Health Center billing experience a plus.
Experience with eClinicalWorks or a similar electronic health record preferred (will train on eCW).
CPT, CDT, HCPCS and ICD-10 coding protocols, Medi-Cal, Medicare, managed care and private insurance coding and billing. Knowledge of FQHC billing protocols. Must be proficient in the use of Microsoft Office programs. Experience with professional and UB-04 claim forms.
Communicate effectively with providers, other staff, and outside vendors. Interpret and review insurance EOBs, determine claim denial reasons and follow-up with corrections and pursue proper course of action. Must be well organized and detail oriented. Work collaboratively in a team environment, have excellent writing skills and be able to prioritize effectively. Must have a high level of accuracy, excellent analytical, problem solving and time management skills.
WORKING CONDITIONS/PHYSICAL REQUIREMENTS:
This is primarily an office position that requires only occasional bending, reaching, stooping, lifting and moving of office materials weighing 25 pounds or less. The position requires daily use of a personal computer and requires entering, viewing, and revising text and graphics on the computer terminal and on paper.
Equal Opportunity Employer: minority/female/disability/veteran.