Medical Billing Manager

Southern California Medical Center is looking for a Medical Billing Manager with FQHC experience to join a team of professionals in our Van Nuys Clinic.

At SCMC, a nonprofit organization, we are committed to serve patients and our community during the trying times. Join our team of professionals where we are focused on providing the best healthcare services for all patients, regardless of whether they need to finance medical care, have no insurance, or are looking for affordable or low cost care that they can feel confident in. From general medical care to preventative care and recovery, our mission is to ensure those who are underserved in our communities to have access to the best possible medical care.

Job Description:

• Manage the Billing Department and a team of Medical Billers
• Collecting, posting and managing account payments.
• Submitting 1500 claims and UB04 claims and following up with insurance companies for payments or denials.
• Preparing and submitting clean claims to various insurance companies’ either, electronically or by paper.
• Answering questions from patients, clerical staff and insurance companies.
• Identifying and resolving patient billing complaints.
• Preparing, reviewing and sending patient statements
• Evaluating patient’s financial status and establishes budget payment plans.
• Following up and reporting status of delinquent accounts.
• Reviewing accounts for reassignment if necessary and making recommendations to the Billing Manager, also preparing information payment plans, hardship wavers, etc.
• Performing various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers.
• Participating in educational activities and attending monthly staff meetings.
• Maintaining strictest confidentiality; adheres to all HIPAA guidelines/regulations.
• Securing needed medical documentation required or requested by insurance carriers (private insurance authorization).
• Following up with insurance carriers on unpaid claims until claims are paid or proper closure is brought to the claim.
• Performing other duties as assigned.

Skills/Experience:

• Knowledge of medical billing/collection practices in FQHC setting required (minimum 1-2 years of experience).
• Knowledge of PPO and Medicare Guidelines for timely filing required.
• Knowledge of medical coding and third-party operating procedures and practices required.
• Knowledge of Billing and Procedures for different departments: Behavioral Health, OBGYN, Dental, Chiropractor, Cardiologist, Physical Therapy, etc. is a plus.
• Ability to establish and maintain effective working relationships with patients and employees.
• Must be well organized and detail-oriented.
• Billing And/or Collector Certification a plus.
• Experience in managing / supervising a team is desired.

Job Type: Full-time

Pay: $65,000.00 - $75,000.00 per year

Benefits:

• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Application Question(s):

• How many years of FQHC medical billing experience do you have?
• How many years of managerial or supervisory experience do you have?

Work Location: In person

Salary : $65,000 - $75,000