Billing Associate (Clinic)

We are seeking a full time, Billing Associate. This position is Full-Time, scheduled 40 hours per week and is eligible for a comprehensive benefits package. We're looking for compassionate, enthusiastic, and dependable candidates that are team players with a positive attitude.

Job Summary:

Performs outpatient clinic billing and account activities to maximize insurance reimbursement and promote prompt payment. Follows up with patients, health plans and medical groups until payment resolution. Runs regular statements and reports and maintains financial and accounting records.

Job Requirements:

Education and Work Experience:

• High School Education/GED or equivalent: Preferred

• Associate's/Technical Degree or equivalent combination of education/related experience: Preferred

Licenses/Certifications:

• International Classification of Diseases (ICD-10) training: Preferred

• Current Procedural Terminology (CPT) coding training: Preferred

Essential Functions:

• Verifies outpatient clinic charges against medical records utilizing Current Procedural Terminology (CPT), diagnostic coding and financial classifications to generate and submit insurance claims and patient statements. Performs data entry of charges, payments, adjustments, refunds and patient demographics.

• Works with insurance companies to get payments processed and denials overturned. Helps clinic patients understand liabilities, co-payments, deductibles or non-covered benefits and arrange to clear bills. Resolves discrepancies and processes contractual adjustments as needed.

• Generates, reviews and distributes accounts receivable reports and aging reports.

• Works with clinic providers and staff, business services representatives, information system representatives, patients and/or representatives and insurance companies to assure completion, accuracy and clarity of all billing and payment documentation. Collects, audits, stores and keeps confidential all financial and accounting records.

• Generates collections letters and processes patient accounts for collection agency and bankruptcy.

• Performs other job-related duties as assigned.

Organizational Requirements:

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations, including, but not limited to, measles, mumps, flu (based on the seasonal availability of the flu vaccine typically during October-March each year), COVID-19 vaccine (required in CA, HI and OR) etc., as a condition of employment, and annually thereafter. Medical and religious exemptions may apply.