Billing Clerk; Limited Term Job Watsonville area,California USA,Administrative/Clerical

Position: Billing Clerk (Limited Term)

Description

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. SALUD began in Watsonville in 1978 as a storefront free clinic, and became a FQHC (Federally Qualified Health Center) in 1992. With four health center sites, satellite and school-based health centers and over 400 employees, we provide high quality services to patients of all ages.

Under immediate supervision (Billing Clerk I), or general supervision (Billing Clerk II/III), of the Billing Supervisor or Manager, the Billing Clerk performs a full range of billing and revenue cycle support functions to ensure accurate, timely, and compliant processing of patient encounters and claims. This position supports organizational financial health by managing patient accounts, resolving billing issues, working with clinical and administrative staff, and providing responsive customer service to patients and payers.

This position supports the organization's mission, vision, and values through excellence and competence, collaboration, innovation, respect, commitment to our community, and accountability and ownership.

DISTINGUISHING CHARACTERISTICS:

Billing Clerk I: This is the entry-level, trainee class in the Billing Clerk series. Incumbents perform routine billing support duties while learning applicable systems, payer requirements, departmental procedures, and revenue cycle operations. Work is performed under close supervision with detailed instructions and review.

Billing Clerk II: This journey-level classification performs a full range of standard billing, payment posting, claim follow-up, and account resolution duties under general supervision. Incumbents independently process routine work using established procedures and resolve common discrepancies.

Billing Clerk III: This journey-level classification performs, in addition to any Billing Clerk II responsibilities, the most complex or specialized billing functions requiring extensive knowledge of payer rules, billing systems, and revenue cycle processes. Incumbents resolve complex account issues, recurring claim problems, and non-routine discrepancies requiring the most independent judgment.

DUTIES AND RESPONSIBILITIES:

Consistently adhere to SPLG communication guidelines and maintain professional interactions with patients, peers, and supervisors.

Support patients with billing matters through effective communication.

Respond to patient inquiries regarding balances, bills, or account correspondence professionally and timely; answer incoming calls courteously using proper phone etiquette.

Task the Patient Service Representatives to update registrations or correct registration mistakes; charge posting and assist in payment posting across Salud specialties and payers accurately and confidentially within the practice management system; provide billing support and billing-related technical assistance to staff, clinical and administrative, as needed.

Process encounters and claims, including reviews for errors, coordinating corrections, preparing batches for submission, and logging issues for reporting.

Manage aged receivables and claim denials, change or correct billing codes, organize insurance correspondence and ensure accurate payments. This includes supporting payment posting, credit balance review, refunds, reconciliation activities, and coordination with Finance on revenue tracking and audits.

Receive billing or revenue cycle in-service training and meetings as needed.

Provide office support and backup for billing department functions, including posting charges and payments and preparing…