POSITION SUMMARY
Under the supervision of the Government Billing Manager, this position is responsible for timely and accurate billing through the resolution of Medi-Cal inpatient and outpatient accounts. This includes billing, collection, and follow-up activities; identification and processing of appropriate write-offs, accurate resolution of all credit balances and prompt response to communications from Medi-Cal. Ensures compliance to Medi-Cal billing requirements to include all coding edits. Performs timely billing of Medi-Cal as secondary insurance to Medicare Part B and Commercial Insurance. Meet and exceed the minimum productivity volume, and standards of work as defined within the departmental policies and procedures.
SPECIFIC SKILLS NEEDED
Demonstrated ability to use a 10-key adding machine, calculator, fax machine, photocopy machine keyboard for data entry, and personal computer (PC). Ability to perform multiple tasks, good mathematical skills, sound decision-making abilities, and good verbal and written communication skills. Ability to learn new systems, become proficient in the development of reports via hospital systems and tools provided, proficient in excel and word documents for appeal submission to payers.
Requirements:
Must have GED or High School Diploma
Minimum two years in hospital Medi-cal and Medi-cal Manage Care billing afollow-up up required.
Knowledge of Medi-Cal billing requirements and regulations. Evidence of continuing education preferred. Familiarity with commercithird-partyrty billing requirements