JOB DESCRIPTION
JOB TITLE: Billing Specialist
DIVISION: Finance
SUPERVISOR: Medical Billing Manager
STATUS: Non- Exempt/ Full Time
Summary of Duties: Responsible for collecting, posting and managing account payments.
Responsible for submitting claims and following up with insurance companies.
Supervision Received: Reports to Billing Supervisor
Essential Functions:
• Prepares and submits clean claims to various insurance companies' either electronically
or by paper.
• Answers questions from patients, clerical staff and insurance companies.
• Identifies and resolves patient billing complaints.
• Prepares, reviews and sends patient statements
• Evaluates patient's financial status and establishes budget payment plans. Follows and
reports status of delinquent accounts.
• Reviews accounts for possible assignment and makes recommendations to the Billing
Supervisor, also prepares information for the collection agency.
• Performs daily backups on office computer system.
• Performs various collection actions including contacting patients by phone, correcting
and resubmitting claims to third party payers.
• Processes payments from insurance companies and prepares a daily deposit.
• Participates in educational activities and attends monthly staff meetings.
• Conducts self in accordance with HPA's employee manual.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
• Education: High School Diploma or GED.
Skills/Experience:
• Knowledge of medical billing/collection practices.
• Knowledge of computer programs.
• Knowledge of business office procedures.
• Knowledge of basic medical coding and third-party operating procedures and practices.
• Ability to operate a computer and basic office equipment.
• Ability to operate a multi-line telephone system.
• Skill in answering a telephone in a pleasant and helpful manner.
• Ability to read, understand and follow oral and written instructions.
• Ability to establish and maintain effective working relationships with patients,
employees and the public.
• Must be well organized and detail-oriented.
• Salary Range $21-$26 dependent upon experience
Environmental/Working Conditions: Normal office environment. Occasional overtime may be
required and/or hours may be shortened as business needs dictate. While performing the duties
of this Job, the employee is regularly required to sit. The employee is occasionally required to use hands
to finger, handle, or feel and talk or hear. The employee must regularly lift and/or move up to 10 pounds
and occasionally lift and/or move up to 25 pounds. Specific vision abilities required by this job include
close vision.
Work Environment: The work environment characteristics described here are representative of
those an employee encounters while performing the essential functions of this job. Reasonable
accommodations may be made to enable individuals with disabilities to perform the essential
functions.
This description is intended to provide only basic guidelines for meeting job
requirements. Responsibilities, skills and working conditions may change as needs
EEO - Via Care Community Health Center provides equal employment opportunities (EEO) to all
employees and applicants for employment without regard to race, color, religion, gender,
sexual orientation, national origin, age, disability, marital status, amnesty, or status as a
covered veteran in accordance with applicable federal, state and local laws. San Fernando
Community Health Center complies with applicable state and local laws governing non-
discrimination in employment in every location in which the organization has facilities. This
policy applies to all terms and conditions of employment, including, but not limited to, hiring,
placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation,
and training.
Special Conditions:
• Must have a reliable automobile for use on the job
• Subject to a criminal background check prior to employment
• Must possess valid California Driver License
• Must have and maintain State required automobile insurance coverage
• TB and post-employment physical clearance, to be renewed every year
Acknowledgment:
Supervisor/ HR Name: Employee's Name:
________________________________________
________________________________________
Supervisor's/HR Signature: Date: Employee's Signature: Date:
_______________________________________
I certify that this job description is an accurate
description of the responsibilities assigned to the
position.
_______________________________________
I certify that I have read and understand the
responsibilities assigned to this position.
• The above statements are intended to describe the general nature and level of work being
performed by the incumbent(s) of this job. They are not intended to be an exhaustive list of all
responsibilities and activities required by the position.
• Nothing in this job description restricts management's right to assign or reassign duties and
responsibilities to this job at any time.