Are you ready to work for a company that focuses on making an impact in your community?

We are looking for a Billing Specialist to join the team! The Billing Specialist assists in maintaining the billing systems and reports to the Revenue Cycle Director.

Essential Duties

· Responsible for maintaining the clinic billing of all patients to include charges, payments, adjustments, and any follow-up necessary for Self-Pay, Medi Cal, Medicare, and third-party payers.

· Reviews patient chart documentation to assure correct coding and accurate billing.

· Analyzing patient medical records to determine billable services based on payer. guidelines that include Medi-Cal, Medicare, Commercial, and State Specialty Programs.

· Evaluate the accuracy of pending charges including dates of service, procedure, location, ICD-10 CM, CPT, CPT II, CDT, HCPCS Codes and modifiers.

· Ensure timely and accurate charge submission through electronic EHR charge capture.

· Review first initial claim scrub before billing utilizing the practice management software.

· Importing of Electronic payments from third party payers that include Medi-Cal, Medicare, Commercial, and State Specialty Programs.

· Perform quality control of data entry to verify proper balancing/posting of payments to claims with accuracy and timeliness.

· Runs reports that require monitoring of unpaid claims with the appropriate payer to collect outstanding claims.

· Ability to identify billing errors and follow-up by notifying the appropriate Supervisor regarding rejected claims to identify a plan of action to process rebilling.

· Verifying eligibility for third party payers that include Medi-Cal, Medicare, Commercial, and State Specialty Programs.

· Performs follow-up procedures as necessary for all third-party payers including Medi-Cal Medicare, and self- pay patients’ questions.

· Writes off credit balances as appropriate.

· Compares insurance files with family insurance files to determine appropriateness of out-of-balance.

· As requested, provides requested information for patient subpoenas.

· Collaborate closely with Center Managers, clinical support staff, and providers with pending charge acceptance corrections.

Requirements

· High school graduate or possession of a GED and three years of experience OR AA degree and one year of experience. Experience required should be focused on progressive billing experience in a clinic or hospital setting. Federally Qualified Health Center experience is preferred. Billing certificate is preferred.

· Knowledge and experience utilizing medical terminology, ICD-10 CM, HCPCS and applying CPT coding rules.

· Ability to use 10-key, ability to type 45 wpm, applicant to provide typing certificate.

· Experience and knowledge of computerized medical or dental billing systems.

· Valid California Driver's license, proof of insurance, and personal transportation.

About Aston Carter:

Aston Carter provides world-class corporate talent solutions to thousands of clients across the globe. Specialized in accounting, finance, human resources, talent acquisition, procurement, supply chain and select administrative professions, we extend the capabilities of industry-leading companies. We draw on our deep recruiting expertise and expansive network to meet the evolving needs of our clients and talent community with agility and excellence. With offices across the U.S., Canada, Asia Pacific and Europe, Aston Carter serves many of the Fortune 500. We are proud to be a ClearlyRated Best of Staffing® double diamond winner for both client and talent service.

Diversity, Equity & Inclusion

At Aston Carter, diversity and inclusion are a bridge towards the equity and success of our people. DE&I are embedded into our culture through:

• Hiring diverse talent

• Maintaining an inclusive environment through persistent self-reflection

• Building a culture of care, engagement, and recognition with clear outcomes

• Ensuring growth opportunities for our people

The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.

If you would like to request a reasonable accommodation, such as the modification or adjustment of the job application process or interviewing process due to a disability, please email astoncarteraccommodation@astoncarter.com (%20astoncarteraccommodation@astoncarter.com) for other accommodation options.