Billing Rep II
Where You’ll Work
Dignity Health Medical Foundation, established in 1993, is a California nonprofit public benefit corporation with care centers throughout California. Dignity Health Medical Foundation is an affiliate of Dignity Health - one of the largest health systems in the nation - with hospitals and care centers in California, Arizona and Nevada. Today, Dignity Health Medical Foundation works hand-in-hand with physicians and providers throughout California to provide comprehensive health care services to the many communities we serve.
As Dignity Health Medical Foundation continues to grow and establish new premier care centers, we provide increasing support and investment in the latest technologies, finest physicians and state-of-the-art medical facilities. We strive to create purposeful work settings where staff can provide great care, while advancing in knowledge and experience through challenging work assignments and stimulating relationships. Our staff is well-trained and highly skilled, qualities that are vital to maintaining excellence in care and service.
Job Summary and Responsibilities
As our Billing Rep, you will help our patients and providers streamline the billing and insurance process so they can focus on patient care and financial well-being.Every day you will review and process patient accounts, insurance claims, and payment postings. You will be expected to ensure accurate and timely billing, follow up on denied claims, and maintain patient confidentiality.To be successful in this role, you must have strong attention to detail, knowledge of medical billing and coding, and experience with healthcare insurance.
Demonstrate a solid understanding of your role as an Accounts Receivable Representative II
Read & interpret invoice details
Patient registration in IDX
Rejection posting in IDX
Knowledge of medical records systems
Ability to navigate Insurance payer web sites
Read & interpret EOB's from various insurance carriers
FSC knowledge
Rules of FSC Flipping
Rules of Charge Corrections
Understanding of claim edits
Resolve claim edits
Ability to manage multiple expectations, tasks and deadlines effectively
Timely review of electronic communication to stay informed of changes that affect your position
Research and analyze account thoroughly to determine appropriate action(s) to be taken
Proactively organize and manage case load to ensure follow through on claims that did not reach resolution at time of initial processing
Job Requirements
Required
High School Diploma or GED
Three (3) years experience working in healthcare Rev Cycle or a Professional Medical Office
Knowledge of physician billing regulations
Understanding of professional claims and billing procedures
Knowledge of Federal and State regulations applicable to Government and Insurance Collections
Excellent written and verbal communication skills
Working knowledge of computers and demonstrated proficiency in using e-mail systems, Internet and MS office software applications with emphasis in Word and Excel
Preferred
Associates or Other in Healthcare Administration or related field
Five (5) years experience working in healthcare Rev Cycle or a Professional Medical Office
One (1) year experience with IDX Practice management system and Cerner EHR
Knowledge of physician billing regulations
Understanding of professional claims and billing procedures
Knowledge of Google Suite