Recent Searches

You haven't searched anything yet.

1 Billing and Quality Assurance Analyst Job in San Jose, CA

SET JOB ALERT
Details...
AACI
San Jose, CA | Other
$86k-107k (estimate)
0 Months Ago
Billing and Quality Assurance Analyst
AACI San Jose, CA
$86k-107k (estimate)
Other | Ambulatory Healthcare Services 0 Months Ago
Save

sadSorry! This job is no longer available. Please explore similar jobs listed on the left.

AACI is Hiring a Billing and Quality Assurance Analyst Near San Jose, CA

Job Details

Job Location: 2400 Moorpark Avenue, Suite 300 - San Jose, CA
Salary Range: $26.86 - $30.00 Hourly

Description

Job purpose

The Billing and Quality Assurance Analyst is responsible for the billing lifecycle and quality assurance functions related to prioritizing, completing, processing, and maintaining Behavioral Health and/or Health Center billing.

Duties and responsibilities

  • Maintain accurate patient data including patient demographics, diagnosis codes, and treatment records in Electronic Health Record (EHR) Systems.
  • Process billing submitted by providers on a timely basis for all insurance carriers.
  • Identify and follow up on cases to be closed, late treatment plans, and associated revenue.
  • Track, reconcile, and apply insurance proceeds to patient records in EHR and NetSmart.
  • Begin the process of enrolling with an insurance company for claim submission, ERA receipt and ACH transactions.
  • Investigate with monthly denials, billing reports, rebills as necessary, and correct recurring errors.
  • Communicate with QI and Program Managers to improve billing procedures regarding procedure codes, DXs, and credentials.
  • Assist in data preparation for external entities including audits.
  • Escalate billing and documentation issues to Behavioral Health and/or Health Center management.
  • Prepare ad hoc reports as requested.
  • Participate in process improvement projects and implementation of new process(es).
  • Complete other related duties and projects as assigned.

Qualifications


Qualifications

Education & Experience:

  • High School Diploma or equivalent required.
  • One year or more of Medicare, MediCal, County of Santa Clara, Behavioral Health Services, or commercial insurance billing experience.
  • Certified Professional Coder (CPC-A/CPC) certification desired but not required.

Knowledge, Skills, & Abilities:

  • Experience using Electronic Health Record (EHR) and Electronic Practice Management (EPM) systems.
  • Experience with Microsoft Word, Excel, Outlook.
  • Experience in insurance eligibility and insurance billing.
  • Ability to learn the operation of new systems and processes quickly.
  • Ability to multi-task and manage priorities & workload to meet reporting deadlines.
  • Ability to perform, summarize and present data analysis.
  • Attention to detail.
  • Ability to communicate well with people of diverse cultural, professional, and experiential backgrounds.
  • Ability to establish and maintain effective work relationships as part of a multi-disciplinary team.

Working conditions

The job is performed in an interior office setting which has no adverse environmental conditions expected.

Physical requirements

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is required to continuously sit for extended periods of time. The mental demands of the job include continuous comprehension, reading, and writing, frequent reasoning, decision making, organizing, and interpreting and analyzing data.

AACI is an Equal Opportunity Employer.

Job Summary

JOB TYPE

Other

INDUSTRY

Ambulatory Healthcare Services

SALARY

$86k-107k (estimate)

POST DATE

03/28/2023

EXPIRATION DATE

06/17/2023

WEBSITE

aaci.org

HEADQUARTERS

SAN JOSE, CA

SIZE

100 - 200

FOUNDED

1973

CEO

GARY STEINKE

REVENUE

$10M - $50M

INDUSTRY

Ambulatory Healthcare Services

Related Companies
About AACI

AACI (Asian Americans for Community Involvement), founded in 1973, serves individuals and families with cultural humility, sensitivity and respect, advocating for and serving the marginalized and ethnic communities in Santa Clara County. Our mission is to strengthen the resilience and hope of our diverse community members by improving their health and well-being. Our vision for the future is that everyone in our diverse community is healthy, safe and well. Our many programs address the health and well-being of the individual and advances our belief in providing care that goes beyond just healt...h, but also provides people a sense of hope and new possibilities. Current programs include behavioral and primary health services, substance abuse prevention and treatment, center for survivors of torture, shelter and services for domestic violence and human trafficking survivors, senior center, youth programs, and community advocacy. For more information, please visit www.aaci.org or call (408) 975-2730. More
Show less

Show more
Show more

AACI
Other
$130k-172k (estimate)
7 Days Ago
AACI
Intern
$274k-345k (estimate)
1 Week Ago
AACI
Other
$73k-91k (estimate)
1 Week Ago