Billing Clerk (Part Time)

1. Billing: Has to be done on a daily basis. • Primary insurance billing. • Secondary Insurance Billing. • Workers Comp. Insurance Billing. • Self Pay Billing. • Maintain cross over for CMS. 2. Coding: • Insurance coding. • ICD-9. • CPT/ASC coding. 3. Patient accounts: • Preparing patient’s account for billing. • Follow up on patient’s account to obtain additional information as/if needed. 4. Payments: • Posting payments on a daily basis. 5. Follow up: • Initially follows up on all EOB’s. • Contacts and makes correspondence with patients for co-payments or deductibles. • Issuing statements on past due accounts monthly and follows up with phone calls. 6. Reports: • Running daily transaction reports and reconciling with daily deposits. • Closing the monthlys. • Running month end reports. 7. Daily deposits: • Photocopying all checks and EOB’s and maintaining records. • Preparing daily deposits. • Updating monthly transaction sheets on a daily basis. 8. Inquiries: • Assist patients when they come in or make telephone inquiries regarding their account status. 9. Filing: • Filing EOB’s and billing on a regular basis. 10. Other tasks: • Follows up all correspondence regarding billing/payment from patient and payer. • Resubmitting the claims with proper explanation and required documents and corrections in a timely manner. QUALIFICATIONS: • High school graduate. • A minimum of two years insurance biller experience at a medical office, an inpatient or outpatient facility. • Knowledge of ICD-9 coding and CPT codes. • Knowledge of medical terminology. • Working knowledge of computers and data processing. • Demonstrate good public relations and understands priority of tasks. • Must be able to communicate with patients or payers in a courteous manner and be neat and clean in dress and appearance.
  • Perform daily billing, including primary, secondary, workers’ compensation, and self-pay claims
  • Maintain CMS crossover processes and ensure accurate claim submission
  • Apply appropriate ICD-9 and CPT/ASC coding for billed services
  • Prepare patient accounts for billing and follow up to obtain missing or required information
  • Post payments, adjustments, and denials accurately on a daily basis
  • Review EOBs and initiate timely follow-up on unpaid or denied claims
  • Contact patients regarding co-pays, deductibles, and outstanding balances; issue monthly statements
  • Prepare and reconcile daily deposits; maintain copies of checks, EOBs, and transaction records
  • Run daily transaction reports and support month-end close and reporting activities
  • Respond to patient and payer inquiries in a professional and timely manner
  • Maintain organized filing of billing records, EOBs, and related documentation
  • Perform miscellaneous duties as assigned by manager
  • High school diploma or equivalent
  • At least 2 years of medical billing experience in a healthcare setting
  • Knowledge of ICD-9, CPT coding, and medical terminology
  • Working knowledge of computers and billing systems
  • Strong attention to detail, organization, and prioritization skills
  • Ability to communicate professionally with patients, payers, and internal stakeholders
Preferred:
  • Experience in an ASC, diagnostic, or outpatient environment
  • Familiarity with EHR and practice management systems
  • Knowledge of Medicare, Medi-Cal, and commercial payer requirements
  • Our organization follows an in-person work structure where the expectation is to work onsite on a daily basis. The office location is 1668 S Garfield Ave #100, Alhambra, CA 91801.
  • The total compensation target pay range for this role is $22 - $23 per hour. The salary range represents our national target range for this role. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.