Billing Specialist

Center for Learning and Innovation

Full Time/Hourly

Are you interested in serving people through exceptional, affordable, and compassionate care and inspiring all those you touch to lead full and healthy lives?

At La Clinica, we love our patients and enthusiastically treat them with the same care, respect, and dignity that we would our friends, family, and neighbors because that's who they are. If this appeals to you, La Clinica might be the right place for you to build your career. We’re looking for the right team members to treat our patients with this level of care.

We invest in our employees' lives through competitive pay, comprehensive benefits packages, easy access to wellness, personal and professional development workshops, and a focus on healthy work-life harmony. Check out our careers page to learn more about why our employees love working at La Clinica.

The Billing Specialist is responsible for providing front-line billing support to the organizations staff members, to Ochin Billing Services staff members and patients with billing concerns not resolvable by Ochin Billing Services.

Responsibilities include:

• Billing and patient account management
• Maintain correct insurance information in accounts to ensure that billing information is current
• Update demographic information as needed using various payer websites and other resources
• Resolve reimbursement issues with provider, department manager and other clinical staff
• Verify and calculate sliding scale discount eligibility
• Handle patient complaints and concerns regarding insurance and patient account issues in a sensitive, respectful manner. Refer concerns to coordinator as appropriate
• Reviews various billings from other entities to confirm La Clinica’s responsibility to pay (Lab Corp, Providence Grant, Asante X-ray)
• Assist in developing, implementing and processing a billing compliance education/training program for physician, non-physician providers and new providers
• Assist in developing program/communication mechanism to inform providers and clinical staff regarding new regulatory guidelines for billing and documentation compliance
• Identified problems related to assigned duties and proposes solutions
• Complete rebilling’s as requested / required by insurance rejections
• Maintains confidentiality of account information
• Performs other duties as assigned

Education and/or Experience:

• Minimum: High School Diploma or equivalent
• Excellent interpersonal communication and problem-solving skills
• Experience / training in medical billing
• Customer service experience and training
• Skills to intervene and promote reconciliation, compromise and positive outcomes in difficult interactions
• Skilled at using electronic health records as applicable to area of work (EPIC)
• At least 1-year experience working in a Medical/Dental office billing/collection required.

Bilingual/Bi-literate skills in English / Spanish required

Preferred:

• Experience / training in account collections process
• Basic knowledge of adult learning models

Applications will be reviewed by the appropriate Department for interview; those selected must be able to provide proof of legal right to work in this country. Criminal history background check and pre-employment drug screen will be performed prior to any job offers. La Clinica is a drug free work environment. Equal Opportunity Employer. La Clinica complies with the Americans with Disabilities Act. If you consider yourself disabled and desire assistance in the application process, please contact the Human Resources Department.

SUMMARY

The Billing Specialist is responsible for getting information to compute fees and charges, give discounts, collect and post payments, make phone calls for collections, bill insurance including collections follow-up. The duties and responsibilities outlined below may rotate among team members as supervised by Medical Billing Coordinator.

Equity Statement:

At La Clinica, we commit to engage everyone in a welcoming, respectful, and loving way and to maintain the dignity and value of all people above everything else. These standards align with our organization’s vision of absolute excellence, open-hearted community, and well-being for all.

For more information, please visit our website at: https://laclinicahealth.org/patients/approach/

Applications will be reviewed by the appropriate Department for interview; those selected must be able to provide proof of legal right to work in this country. Criminal history background check and pre-employment drug screen will be performed prior to any job offers. La Clinica is a drug free work environment. Equal Opportunity Employer. La Clinica complies with the Americans with Disabilities Act. If you consider yourself disabled and desire assistance in the application process, please contact the Human Resources Department.