What are the responsibilities and job description for the Billing Specialist position at East Bay Community Action Program?
East Bay Community Action Program
Location: 100 Bullocks Point Avenue
Department: Finance/Billing
Position Type: Non-Exempt, Grade 08
About The Role
East Bay Community Action Program is seeking a detail-oriented Billing Specialist to join our Finance/Billing team. Under the supervision of the Billing Manager, you'll play a crucial role in ensuring timely claim submissions and payment processing for our medical, behavioral health, and dental services.
What You'll Do
Required Qualifications
This is primarily an administrative role requiring the ability to
Be part of a mission-driven organization that provides essential healthcare services to the community. Work in a collaborative environment where your attention to detail and problem-solving skills make a real difference in ensuring patients receive the care they need.
Location: 100 Bullocks Point Avenue
Department: Finance/Billing
Position Type: Non-Exempt, Grade 08
About The Role
East Bay Community Action Program is seeking a detail-oriented Billing Specialist to join our Finance/Billing team. Under the supervision of the Billing Manager, you'll play a crucial role in ensuring timely claim submissions and payment processing for our medical, behavioral health, and dental services.
What You'll Do
- Claims Management: Prepare, review, and submit claims using billing software (primarily electronic processing)
- Insurance Coordination: Obtain referrals, pre-authorizations, and verify eligibility and benefits for requested services
- Payment Monitoring: Follow up on unpaid claims, review Explanation of Benefits (EOB), and verify insurance payments for accuracy
- Problem Resolution: Research and appeal denied claims, resolve payment discrepancies, and respond to patient and insurance inquiries
- Compliance: Ensure all billing practices follow managed care contracts, licensing requirements, and State/Federal regulations
- Documentation: Maintain organized records of all billing and collection transactions
Required Qualifications
- High school diploma or equivalent
- 2-4 years of medical billing experience
- Medical billing certification or equivalent
- Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook)
- Knowledge of CPT and ICD-10 coding, HCFA 1500, and UB-04
- Understanding of billing rules, regulations, and medical terminology
- Working knowledge of billing software and electronic medical records
- Certified coder certification is a plus
- Strong customer service skills for patient and insurance company interactions
- Excellent problem-solving abilities to research and resolve discrepancies, denials, and appeals
- Ability to multitask, prioritize, and manage time efficiently
- Team-oriented with ability to triage priorities and handle conflict professionally
- Strong analytical skills to strategize solutions
This is primarily an administrative role requiring the ability to
- Operate computer and office equipment
- Lift up to 25 pounds using proper techniques
- Remain stationary approximately 50% of the time
- Bend, reach, file, sit, stand, and move around the facility
- Communicate effectively with clients, staff, and external representatives
Be part of a mission-driven organization that provides essential healthcare services to the community. Work in a collaborative environment where your attention to detail and problem-solving skills make a real difference in ensuring patients receive the care they need.