Reimbursement Assistant (Medical Biller/Billing Specialist)

** Work Schedule is Mon - Fri 8:00am - 4:30pm OR 6:00am - 2:30pm. 3+ years of medical billing, commercial insurance collections and MyAvatar software experience preferred **

**Hourly Range is $30 - $31.74 depending on years of experience. **

We offer a competitive package of employee benefits for 30 to 40-hour week positions. You will receive a defined contribution amount of up to $15,433.08 per year (prorated for part-time employees working less than 40 hours per week) to purchase the benefits of your choice on a cafeteria plan basis. Any amount of this defined contribution not used towards your benefits will be paid to you as taxable earnings. We offer a retirement plan with a generous employer match starting at 4% after one year of employment.  Our paid time off is also more generous than many employers with vacation time accruing up to 25 days per year, 6 days of sick time per year and 12 paid holidays.

The benefits offered in our cafeteria plan are as follows: 

• Medical benefits –Kaiser--ranging from $0 Deductible Plan with $15 Copay to $,3400 Deductible Plan with Health Savings Account. Sutter Health plans are also available from $0 Deductible Plan to $2,500 Deductible Plan.
• Dental benefits –Guardian: 1 dental HMO and 2 PPOs
• Vision benefits – 2 options from Guardian VSP: a standard vision plan and an enhanced vision plan

PRINCIPAL DUTIES AND RESPONSIBILITIES:

1. Provides billing support functions including but not limited to:
   1. Verifies accuracy of payments;
   2. Researches denials;
   3. Prepares monthly accounts receivable reports;
   4. Provides initial review and conveys findings to manager;
   5. Investigates aged accounts receivables and rejection patterns;
   6. Prepares reports and conveys findings to manager;
   7. Handles telephone communications;
   8. Prioritize incoming requests and assigned tasks;
   9. Schedules appointments and meetings;
   10. Prepares purchase orders.
2. Serves as backup contact for department on billing issues, questions and policies, communicates departmental concerns to manager for further analysis, resolution and/or direction.*
3. Demonstrates ability to make numerical calculations.
4. Demonstrates ability to type a variety of documents from rough draft or other sources using computer word processing, spreadsheets, database or other applications, and compose and type routine correspondence.
5. Arranges for and provide meeting support including taking and transcribing minutes for distribution.
6. Updates and maintain filing and record keeping systems, schedules and rosters, and databases. Including computer data entry.
7. Handles routine information and/or inquiries on activities, processes, policies and procedures established programs and when required refer inquiries/calls to other staff as appropriate.
8. Coordinates and direct activities of other staff in work unit. Perform duties of other reimbursement and support and finance staff in their absence or as assigned or required
9. Processes request for services including necessary follow-up activities to clarify concerns or obtain information or otherwise ensure the quality and accuracy of service delivery and the data generated in order to bill.

OTHER DUTIES AND RESPONSIBILITIES:

1. Participates in community, agency, team trainings and staff and agency meetings as required.*
2. Train newly hired staff in reimbursement/billing processes.
3. Perform other duties as assigned.

KNOWLEDGE, SKILL, AND ABILITIES REQUIRED:  (E = Essential; D = Desired)

1. High School diploma GED, or equivalent education and a minimum of one year (E) of responsible, full-time experience in a billing capacity (E) two years preferred (D). Associate’s degree or graduation from a recognized Business School or a related field (D).
2. Proven typing speed of 40 net wpm (E); 50 net wpm (D); computer literacy; ability to use MS Office applications—Word; Excel; Outlook—and Windows-based databases at an intermediate level (E); familiarity with databases. (D)
3. Familiarity using and maintaining a variety of common office equipment, such as fax machines, computer printers, photocopiers, and multi-line phone systems. (E)
4. Effective oral and written communication skills, including appropriate English grammar, spelling and punctuation; legible handwriting or printing; proof and edit others’ and own work. (E)
5. Demonstrated task management and execution skills and the ability to:
   1. Coordinate more than one task and be flexible; maintain timelines and deadlines; (E)
   2. Adapt to changing systems, methods, and environments; (E)
   3. Stay calm and reassuring in stressful situations and with agitated individuals in person and on the phone; (E)
   4. Work with minimal supervision and demonstrate resourcefulness in completion of tasks; (E)
   5. Recognize, investigate, troubleshoot, and resolve problems; (E)
   6. Respect and maintain confidentiality; (E)
   7. Work effectively with persons of different value systems, ethnicity, cultural backgrounds, language capabilities, and disabilities; (E)
   8. Exhibit exemplary customer service, compassion, and care in the execution of all duties and interactions. (E)
6. Special Requirements: Must be able to meet and receive a criminal records clearance, as required by Title XXII, other licensing regulations, and Momentum practices. (E)
7. A valid California Driver License, with access to a reliable vehicle/for driving a company vehicle, current proof of auto liability insurance, and a clean DMV record. (E)
8. Physical requirements needed to perform the essential functions of this job, with or without accommodation: (E)
   1. Hearing and talking on telephone and in person; standing, walking, sitting, pinching and finger flexion are required constantly (over 2/3 of the workday); (E)
   2. Lifting, carrying, pushing, pulling, bending, stooping, crouching, kneeling and twisting are required occasionally (under 1/3 of the workday); (E)
   3. Balancing, climbing and crawling are generally not required.