Salud Para La Gente
Apply for the
Billing Clerk
role at
Salud Para La Gente .
Salud Para La Gente (SALUD) provides high quality, comprehensive and cost-effective medical, dental, behavioral health, optometry and other services to underserved, low‑income communities in the Monterey Bay area, including Santa Cruz and Monterey Counties. Founded in 1978 as a storefront free clinic and becoming an FQHC in 1992, SALUD operates four health center sites, satellite and school‑based health centers, and employs over 400 people.
Job Type: Full‑time.
We offer a competitive salary and benefits package and a collaborative culture that values excellence, achievement, innovation and compassion.
We are seeking an experienced
Billing Clerk
to process assigned superbills and perform other billing functions. This position requires the ability to perform detailed work consistently accurately and timely, and a strong alignment with our mission, vision and values.
Responsibilities
Consistently adhere to SPLG’s communication guidelines and expectations with patients, peers, and supervisors.
Collaboratively work with patients through SPLG’s communication guidelines to positively affect their health outcomes.
Enter, review, and make necessary changes to all patient registration information in the practice management system in accordance with established procedures. Ensure that all matters related to patient account information are handled confidentially, effectively, efficiently and in accordance with regulations and contracts.
Research and answer any questions regarding account balances, bills, or correspondence on a patient’s account in a timely and professional manner and with regard to patient confidentiality.
Using proper phone etiquette answer incoming calls courteously and professionally.
Maintain expertise in registration and charge posting in all Salud’s specialties and sub‑specialties for all payers.
Provide administrative expertise and technical assistance to the Patient Service Coordinators as required for financial and insurance issues.
Process Salud’s encounters/claims: review all encounters. If errors are found, coordinate with clinical support staff and providers to make corrections for a timely daily close.
Run unresolved encounter reports that require monitoring and action on a daily basis, and follow up with the appropriate person(s) to resolve outstanding encounters and claims.
After final review of encounters, prepare the batch for electronic submission.
Coordinate with fellow billing clerks to finalize electronic encounter/claim submission.
Maintain a log identifying all errors found while processing encounters. Review daily to identify patterns and report information monthly to Lead, Supervisor or Manager.
Review health insurance claims to ensure accuracy of payment, denial, rejection received based upon contracts on file, payer guidelines and Salud’s policies/procedures.
Process Salud’s aged receivables and claim denials: run all reports that require monitoring of claims with the appropriate entity to collect outstanding claims following Salud’s policies and procedures.
Coordinate required coding changes that may impact payment of a claim in the practice management system.
Maintain all paper correspondence, including Explanation of Benefits from Insurance Companies organized and filed on a weekly basis.
Work in coordination with Patient Account Receivable to ensure accurate payments are received. Follow up on all denials received to resubmit accurate data.
When applicable, participate in individual or group meetings/training related to billing or revenue cycle practices.
Provide office support and back‑up for the billing department functions as needed, such as posting charges, preparing claims for billing and completing electronic billing batches.
Coordinate with clinical staff (Providers, Support Staff and Front‑office staff) via tasks, phone, email or in person the following corrections:
Registration
Missing charges
Missing Forms (related to billing)
Diagnosis codes
CPT, CDT, HCPCS codes
Inform patients of Clinic policies regarding minimum payment requirements and financial arrangements such as sliding fee scales and payment contracts.
Advise the Finance Department/CFO regarding all parties with outstanding balances to assist in determining which accounts are appropriate for payment plans or write‑off.
If requested, research or produce billing related reports for Finance Staff.
If requested, collaborate with Data Systems staff to provide billing expertise to assist with the production of billing related reports.
Analyze current flow and provide suggestions for workflow improvement.
Maintain effective working relationship with a diverse employee, patient and business population.
Perform all duties with a high degree of accuracy.
Perform billing related administrative tasks as needed to support the clinic operation, including faxing, scanning or sending patient financial records for subpoenas or patient requests.
Collect delinquent accounts by establishing payment arrangements with patients, monitoring payments; following up with patients when payment lapses occur.
Adhere to the SPLG Mission, Vision, and Values, Standards of Conduct and HIPAA principles.
Perform other duties as assigned.
Requirements
High School Diploma.
Two years of health insurance billing experience, preferred.
One year experience working with the following state programs and rules:
MediCal
Medicare
Child Health Disability Program (CHDP)
Family Pact
Commercial Insurances
Every Woman Counts (EWC)
Managed Medi‑Cal
Bilingual Spanish/English.
One year experience with standard ICD‑10 medical and dental coding (occurring within the past four years).
Completed/Passed Medical Terminology Course.
Excellent customer service skills (for both internal and external customers) are required.
Possession of a valid California Class C Driver’s License or ability to provide suitable transportation. Transportation between sites may be required.
Individuals hired on or after March 2018 who have not taken a Medical Terminology class (to be confirmed by proof of taking and passing the class with a grade of “C” or better) will be placed at the Billing Clerk scale that was in effect prior to March 2018. They will have nine (9) months to successfully complete the class with a grade of “C” or better and may use the Education Career Development money to pay for the class.
Physical Demands
Standing, walking, sitting, typing, reaching, bending, moving and/or lifting up to 50 pounds.
Salary & Benefits Salary Range: $21.16 – $26.37 per hour; with Medical Terminology the range is $23.95 – $29.84 per hour.
Medical, Dental, Vision, and Life Insurance Plans.
Paid Time Off (PTO): 19 days per year.
Paid Holidays: 12 per year.
401(k) Retirement Plan with employer contribution.
Voluntary Long‑Term Disability.
Additional Information
Employees on temporary assignments are eligible for holiday pay and California sick pay, both pro‑rated based on hours worked.
On‑call employees are eligible for California sick pay, pro‑rated based on hours worked.
Salud is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information. Salud is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. To request reasonable accommodation, contact the Salud Human Resources Department, 831‑728‑8250, and HRDept@splg.org.
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Billing Clerk
role at
Salud Para La Gente .
Salud Para La Gente (SALUD) provides high quality, comprehensive and cost-effective medical, dental, behavioral health, optometry and other services to underserved, low‑income communities in the Monterey Bay area, including Santa Cruz and Monterey Counties. Founded in 1978 as a storefront free clinic and becoming an FQHC in 1992, SALUD operates four health center sites, satellite and school‑based health centers, and employs over 400 people.
Job Type: Full‑time.
We offer a competitive salary and benefits package and a collaborative culture that values excellence, achievement, innovation and compassion.
We are seeking an experienced
Billing Clerk
to process assigned superbills and perform other billing functions. This position requires the ability to perform detailed work consistently accurately and timely, and a strong alignment with our mission, vision and values.
Responsibilities
Consistently adhere to SPLG’s communication guidelines and expectations with patients, peers, and supervisors.
Collaboratively work with patients through SPLG’s communication guidelines to positively affect their health outcomes.
Enter, review, and make necessary changes to all patient registration information in the practice management system in accordance with established procedures. Ensure that all matters related to patient account information are handled confidentially, effectively, efficiently and in accordance with regulations and contracts.
Research and answer any questions regarding account balances, bills, or correspondence on a patient’s account in a timely and professional manner and with regard to patient confidentiality.
Using proper phone etiquette answer incoming calls courteously and professionally.
Maintain expertise in registration and charge posting in all Salud’s specialties and sub‑specialties for all payers.
Provide administrative expertise and technical assistance to the Patient Service Coordinators as required for financial and insurance issues.
Process Salud’s encounters/claims: review all encounters. If errors are found, coordinate with clinical support staff and providers to make corrections for a timely daily close.
Run unresolved encounter reports that require monitoring and action on a daily basis, and follow up with the appropriate person(s) to resolve outstanding encounters and claims.
After final review of encounters, prepare the batch for electronic submission.
Coordinate with fellow billing clerks to finalize electronic encounter/claim submission.
Maintain a log identifying all errors found while processing encounters. Review daily to identify patterns and report information monthly to Lead, Supervisor or Manager.
Review health insurance claims to ensure accuracy of payment, denial, rejection received based upon contracts on file, payer guidelines and Salud’s policies/procedures.
Process Salud’s aged receivables and claim denials: run all reports that require monitoring of claims with the appropriate entity to collect outstanding claims following Salud’s policies and procedures.
Coordinate required coding changes that may impact payment of a claim in the practice management system.
Maintain all paper correspondence, including Explanation of Benefits from Insurance Companies organized and filed on a weekly basis.
Work in coordination with Patient Account Receivable to ensure accurate payments are received. Follow up on all denials received to resubmit accurate data.
When applicable, participate in individual or group meetings/training related to billing or revenue cycle practices.
Provide office support and back‑up for the billing department functions as needed, such as posting charges, preparing claims for billing and completing electronic billing batches.
Coordinate with clinical staff (Providers, Support Staff and Front‑office staff) via tasks, phone, email or in person the following corrections:
Registration
Missing charges
Missing Forms (related to billing)
Diagnosis codes
CPT, CDT, HCPCS codes
Inform patients of Clinic policies regarding minimum payment requirements and financial arrangements such as sliding fee scales and payment contracts.
Advise the Finance Department/CFO regarding all parties with outstanding balances to assist in determining which accounts are appropriate for payment plans or write‑off.
If requested, research or produce billing related reports for Finance Staff.
If requested, collaborate with Data Systems staff to provide billing expertise to assist with the production of billing related reports.
Analyze current flow and provide suggestions for workflow improvement.
Maintain effective working relationship with a diverse employee, patient and business population.
Perform all duties with a high degree of accuracy.
Perform billing related administrative tasks as needed to support the clinic operation, including faxing, scanning or sending patient financial records for subpoenas or patient requests.
Collect delinquent accounts by establishing payment arrangements with patients, monitoring payments; following up with patients when payment lapses occur.
Adhere to the SPLG Mission, Vision, and Values, Standards of Conduct and HIPAA principles.
Perform other duties as assigned.
Requirements
High School Diploma.
Two years of health insurance billing experience, preferred.
One year experience working with the following state programs and rules:
MediCal
Medicare
Child Health Disability Program (CHDP)
Family Pact
Commercial Insurances
Every Woman Counts (EWC)
Managed Medi‑Cal
Bilingual Spanish/English.
One year experience with standard ICD‑10 medical and dental coding (occurring within the past four years).
Completed/Passed Medical Terminology Course.
Excellent customer service skills (for both internal and external customers) are required.
Possession of a valid California Class C Driver’s License or ability to provide suitable transportation. Transportation between sites may be required.
Individuals hired on or after March 2018 who have not taken a Medical Terminology class (to be confirmed by proof of taking and passing the class with a grade of “C” or better) will be placed at the Billing Clerk scale that was in effect prior to March 2018. They will have nine (9) months to successfully complete the class with a grade of “C” or better and may use the Education Career Development money to pay for the class.
Physical Demands
Standing, walking, sitting, typing, reaching, bending, moving and/or lifting up to 50 pounds.
Salary & Benefits Salary Range: $21.16 – $26.37 per hour; with Medical Terminology the range is $23.95 – $29.84 per hour.
Medical, Dental, Vision, and Life Insurance Plans.
Paid Time Off (PTO): 19 days per year.
Paid Holidays: 12 per year.
401(k) Retirement Plan with employer contribution.
Voluntary Long‑Term Disability.
Additional Information
Employees on temporary assignments are eligible for holiday pay and California sick pay, both pro‑rated based on hours worked.
On‑call employees are eligible for California sick pay, pro‑rated based on hours worked.
Salud is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information. Salud is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. To request reasonable accommodation, contact the Salud Human Resources Department, 831‑728‑8250, and HRDept@splg.org.
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