Medical Biller

Medical Biller

Location : Downey, CA

Salary : $22.87 - $24.08 Per Hour

Area of Interest : Recovery

Division : Adult Services

Shift Type : Day

Job Summary And Purpose

While maintaining patient confidentiality and information security, the Biller, Medical will review, track and submit for review, patient service records. This position will work closely with the Operations Coordinator to ensure billing accuracy.

Duties And Responsibilities

Review all intake billing related documentation in SAGE : CalOms, Financial Eligibility, Treatment Authorization, ICD 10 codes, Client Consent, and Clinical contact information

Verify timely completion and data entry of treatment notes to ensure accurate billing claims

Verify essential treatment note information (i.e. units of services, time start and end time)

Daily, weekly, and monthly review and data entry of billable services

Develops, records, and distributes monthly reports, and / or general information as needed

Generates treatment services in SAGE and submit to Program Manager or designee

Monitor and review denied claims and resubmit treatment services

Maintain and store all billing supportive documentation as required by State guidelines

Assists in maintaining confidential files in both physical and electronic forms

Assists management in reconciling data

Provides general office support including but not limited to answering phones, scheduling ASAM assessments, faxing, scanning and taking staff meeting minutes

Other duties as required to meet program goals, subject to change as needed

Essential Duties

Review Intake Billing data and documentation

Verify accuracy of data entry

Daily, weekly and monthly billing data entry and review

Maintain SAGE files, generate reports as needed

Maintain medical billing supporting documentation

Monitor, review and resubmit denied claims

In coordination with treatment staff, maintain client treatment files, electronic and hard copy.

Other duties as required and is subject to change at any time.

Qualifications

Requirements :

Must be able to pass a fingerprint clearance, background check, including criminal history, personal references, employment and education verifications

Education :

High School or GED with strong math skills

Experience :

1 year experience with Medi-Cal billing and / or data entry experience

Preferred Qualifications :

Associate Degree or medical coding certificate

Familiar with SAGE billing / database

Volunteers of America is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected Veteran Status, or any other characteristic protected by applicable federal, state, or local law.

This employer participates in E-Verify as required by the federal government and will provide the federal government with your Form 1-9 information to confirm that you are authorized to work in the U.S.

If E-Verify cannot confirm that you are authorized to work, this employer is required to give you written instructions and an opportunity to contact Department of Homeland Security (OHS) or Social Security Administration (SSA) so you can begin to resolve the issue before the employer can take any action against you, including terminating your employment.