Sacramento Native American Health.

  • Sacramento, CA


  • Long-term.

  • Full-time.

University Hospital in Downtown Sacramento looking for a Billing Specialist II to help in the processing of all kinds of payments, claims, rejections, refunds, and unapplied payments while guaranteeing that all information is adjudicated in a prompt way. The Billing Specialist II is likewise an essential part of the service provider assistance group and supplies standards and updates to our suppliers as required. If you are enthusiastic about health care and wish to become part of a growing university hospital dedicated to improving lifestyle by offering a culturally skilled, holistic, and patient-centered continuum of care, we welcome you to use and enter into our group.

Requirements

Essential Functions:

  • Coordinate the collection of information from point of origin; take part in the pre-processing of client information to find missing out on info and to make corrections as essential.
  • Submit claims every day.
  • Ensure that payments gotten are properly published in the balance due.
  • Share client payment details every day.
  • Review Sphere 2 company training documents.
  • Point of contact for state programs consisting of, however not restricted to CHDP, Family Pact, Every Women Counts, and so on
  • Process everyday pending charges.
  • Balance batch journals when needed.
  • Run and remedy any claim modifies.
  • Run report to look for missing out on charges from service providers.
  • Serve as assistance and offer training for suppliers when required.
  • Work day-to-day jobs from E.P.M. And E.H.R work logs.
  • Stay present and upgrade RCM with any payer particular or FQHC center info modifications.
  • Reviews service provider coding for precision in outpatient medical, oral, and behavioral health records.
  • Respond to all levels of coding, billing intensified concerns connected to account balances in Dental, Medical, and Behavior Health area.
  • Analyze and deal with Revenue Cycle issues successfully by making use of weekly aging reports to guarantee all claims are adjudicated in a prompt way.
  • Update client records when required.
  • Files and preserves transmittals for billing and auditing procedures consisting of refunds and overpayments.
  • Research issue claims, and change mistakes found therein.
  • Review billing database for patterns in claims rejections and deal with these as they happen.
  • Review and fix claim rejections.
  • Maintain high degree of privacy and regard in managing all center and customer medical info.
  • Purging charts that have actually aged out.
  • Compliance with all state and federal laws and policies, as they relate to place consisting of; HIPAA, unwanted sexual advances, scope of practice, OSHA, and so on
  • Other tasks as designated

Minimum Qualifications:

  • AA degree or comparable experience in insurance coverage, eligibility and/or billing.
  • 3 years or more current Medi-Cal, Medicare, and outpatient coding experience or comparable mix of education.
  • Familiarity with electronic Billing systems utilized for 3rd party earnings procedures
  • Customer service experience.

Preferred Qualifications:

  • Knowledge, understanding of medical account reconciliations and invoicing cycle.
  • Certified Professional Coder (CPC)
  • Knowledge and understanding of Community Clinic, or FQHC Billing experience.
  • Knowledge, understanding and usage of Electronic Health/Administrative Records, Resource Patient Management Systems NextGen.

Benefits

  • Supportive and innovative workplace.
  • Medical protection provided with 2 of the area’s greatest quality service providers.
  • 403 B strategy with a 3% match after 90 days.
  • 12 paid day of rests.
  • Flexible Spending Account
  • Paid Time Off (PTO)

Preference in hiring is provided to certified Native Americans in accordance with SNAHC policy. Candidates declaring Indian Preference are motivated to send confirmation of Indian accredited by people of association or other appropriate documents of Indian heritage.

EQUALOPPORTUNITYEMPLOYER: Within the scope of Indian Preference, all prospects will get equivalent factor to consider without regard to race, color, age, gender, religious beliefs, sexual preference, nationwide origin, medical condition or physical or psychological special needs, hereditary particular, pregnancy, marital status, veteran status, or other non-merit aspects.

AgeDiscriminationin Employment Act (ADEA): Sacramento Native American Health Center, Inc. abides by the requireds of the ADEA (safeguarding people 40 years and older) and thinks about age a non- benefit consider all work choices and factors to consider.

AmericanswithDisabilitiesAct( ADA): SacramentoNative American Health Center, Inc. abides by the requireds of the ADA and thinks about impairment a non-merit consider all work choices and factors to consider. SNAHC will make any useful, possible, and affordable plans to accommodate certified candidates and staff members with impairments.

Applicants and workers might ask for a lodging of a physical or psychological impairment at any time in the application procedure or throughout work

As a condition of work, all Sacramento Native American Health Center workers consent to a Covid-19 vaccination other than where otherwise forbidden or where other legal exemption by law is enabled. If used a position, will you accept completely abide by the policy to protect work? *.

Sacramento Native American Health.