Title: Patient Account Biller Senior

Location: Fountain Valley

Department: MCSS Patient Accounting

Status: Fulltime 

Shift: Days (Predominantly Remote)

Additional Offerings:

• Supplemental Bonus and Incentive Program
• Internet/Wireless Expense Reimbursement 
• Remote/Work-from-home

Pay Range: $25.22/hr - $36.57/hr

Purpose Statement / Position Summary

Managed Medi-cal Biller, Senior is responsible for all Managed Medi-cal Billing of accounts to ensure that PFS is capturing all revenues as timely and efficiently as possible. This position will have working knowledge of Managed Medi-cal including other complex payment methodologies to ensure prompt and accurate reimbursement. This position must be able to utilize and understand many complex and varying Managed Medi-cal Federal statutes and regulations, Department of Health Care Services (DHCS) guidelines and systems. Perform the account billing function with all Managed Medi-cal government agencies to obtain maximum and correct reimbursement of accounts receivables.This position proactively works with all payors and internal resources to identify and resolve issues that hinder account payment.

This position offers you the opportunity to work from home (WFH) after training has been completed. Once completed you will need to be available to come into the office for additional training, meetings etc., as needed

Essential Functions and Responsibilities of the Job

1.Ability to provide prompt and courteous customer service to all internal and external customers.

2.Ability to use critical thinking to research billing processes.

3.Ability to communicate effectively in verbal and written form.

4.Ability to analyze documentation and resolve billing issues appropriately and timely.

5.Ability to work independently with minimal supervision.

6.Ability to identify and analyze Managed Medi-cal billing issues in a timely manner and independently initiates appropriate actions to resolve issues.

7.Able to be at work and on time, follow organization rules and procedures and directions from a Coordinator/Lead or other member of the Management staff.

8.Adheres to all confidentiality policies and procedures and carries out all tasks in a pleasant and respectful manner.

9.Ability to make suggestions for enhancements throughout the department and continually seeks opportunities to improve current policies, procedures and practices.

10.Ability to recognize and perform essential duties and offers assistance to others or performs other required tasks when own assignments are completed.Performs other duties as assigned by management.

Experience

• Minimum 2 year of Managed Medi-Cal Hospital (Government) Inpatient and Outpatient billing experience (required)
• Current knowledge of Department of Health Care Services (DHCS) guidelines, Medi-Cal manuals, and Managed Medi-Cal payment methodologies.
• Knowledge EPIC, Electronic billing, Claim Source, Office Ally, preferred.
• Knowledge of medical terminology and coding preferred.
• Written and verbal communication skills to meet productivity standards.
• Positive work ethics
• Microsoft Office, Excel experience, preferred.

Education

• High School diploma, GED equivalent, preferred.
• Business related courses, preferred.
• AA Degree or medical field certificate, preferred.