Asian Health Services founded in 1974 provides health social and advocacy services for all regardless of income insurance status immigration status language or culture. Our approach to wellbeing focuses on whole patient health which is why we provide more than primary care services including mental health case management nutrition and dental care to more than 50000 patients in English and 15 languages: Korean Lao Burmese Mandarin Cantonese Spanish Portuguese French Mien Karen Mongolian Karenni Tagalog Khmer and Vietnamese. We offer medical dental and mental health services for all ages.
Under the supervision of the Revenue Cycle Managers (RCM)the Revenue Cycle Coordinator (RCC) is responsible for performing complicated billing of services and claims denial response for multiple payor sources for dental. The RCC ensures all services provided by the clinic are properly billed and paid. Under the guidance of the RCM and in partnership with the Sr. Revenue Cycle Coordinator the RCC participate in analyzing and resolving departmentwide problems such as operational workflow issues or EHR EPM systemrelated issues.
Essential Job Functions
ResponsibleforMedicareadvantagewrap519billingandBehaviorHealthservicebillingto Blue cross and Beacon Managed care.
Manages billings to law offices for workers comp and vehicle injury services.
Provides specialized billings for Dental services transferring data from Dentrix EPM systems into OCHIN/EPIC resolve issues related to denials.
Works in close partnership with the Sr. Revenue Cycle Coordinator to identify and resolve billing issues and denials.
Performs complicated postings of payments for services into OCHIN/EPIC
Monitors and tracks patients accounts receivable aging reports. Makes necessary adjustments for outstanding balances to resubmit claims and/or recommend writeoff to RCM.
Sends out monthly patient statements.
Review and complete the monthly patient account receivable adjustments.
Monitoring patientaging balance and set up patients withCOLLECTION status as determined by current policy and guidelines.
Communicates issues with the electronic billing and payment posting system to Supervisor Manager and or IT/IS department.
Keeps updated on new information related to MediCal/Medicare Managed Care another third party billing.
Coordinating with there to the Billing staff who are running the BBP reports.
Assisting the RCM with other duties when appropriate and as requested.
General Agency/AHS Duties
Fosters an environment that promotes trust and cooperation among clients and staff.
Enforces clinic policies and procedures including maintenance of client confidentiality under HIPAA privacy rules to ensure that the principles of AHS are implemented.
Plays an active role in planning organizationwide activities such as AHS general membership meetings fundraisers special clinic days and other events.
Participates in general membership meetings fundraisers and other public events as required.
Participates in outreach activities agency advocacy and serves on ad hoc committees as requested.
Attends AHS staff retreats and Board of Directors meetings as required.
Participates in agencywide quality improvement program processes and performance improvement teams to ensure excellence in the quality of services provided across the agency.
Minimum Qualifications
Associates degree from an accredited college or university
2 years of dental billing experience or any equivalent combination of education and experience
Experience resolving billing issues with insurance companies
Experience using EPM/EHR software
Preferred Qualifications
Experience with OCHIN/EPID EPM/EHR software
Experience with FQHC/Managed care billing
General knowledge of accounting principles
Ability to report data using any query language or report generator
Experience with OCHIN/EPID EPM/EHR software
Experience with FQHC/Managed care billing
General knowledge of accounting principles
Knowledge Skills & Abilities
Proficiency with Microsoft Office applications with intermediate to advanced level competency in Excel and PowerPoint.
Ability to work collaboratively with other AHS supervisors and managers with a focus on customer service and quality of care exemplifying the core values and mission of the organization always exercising utmost discretion diplomacy and tact inpatient/staff interactions.
Knowledge of MediCal Medicare and private insurance regulations and billing practices
Knowledge of laws and regulations governing collection procedures
Ability to read interpret and explain laws and regulations related to billing and collections.
Ability to gather assemble analyze and evaluate facts draw logical conclusions and make appropriate recommendations.
Ability to effectively communicate with the patient population and staff while demonstrating a high degree of diplomacy and tact.
Basic working knowledge of medical terminology.
Ability to exercise initiative judgment discretion and decisionmaking to achieve organizational objectives Effective supervisory skills to oversee direct reports and delegate responsibility and authority to staff
Demonstrated attention to detail and wellorganized.
Ability to multitask prioritize and meet deadlines.
Strong written and verbal communication skills.
Advanced financial accounting analysis and reporting skills.
Knowledge of budgeting and preparing financial reports.
Proficiency with Microsoft Office applications.
$34.29 $35.50 an hour
BENEFITS:
Medical Dental Vision premiums 100 paid by AHS
12 Vacation Days
12 Sick Days
13 Holidays and 3 Floating Holidays
3 403B Employer Contributions and up to 2 Employee Match Contribution
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