Hospital Billing Specialist (Open & Promotional) - County of San Mateo
San Mateo, CA
About the Job
Note: This recruitment schedule was amended on April 10, 2024 to extend the Final Filing Date. This recruitment has been changed to "Continuous."
Through growth and change, the San Mateo Medical Center (SMMC) remains committed to providing quality and compassionate medical care to meet the health needs of the community. Located in San Mateo, California, the SMMC is an acute care facility providing healthcare to our community and surrounding service area since 1930.
The SMMC is seeking an experienced Hospital Billing Specialist to perform difficult, technical, complex billing functions along with data entry and business services support work. The successful incumbents will research, and compliantly bill for services provided at SMMC hospital and clinics using a third-party claim editing system according to varies payer guidelines and regulations; manage and monitor a caseload of accounts; research and resolve billing questions with fiscal intermediaries, physicians, and others; enter, retrieve, and interpret data using a hospital billing system; prepare reports and maintain accurate records. The Hospital Billing Specialist successfully bills and resolves hospital and physician claims while adhering to HIPAA and payer regulation. Lead direction of others is not a regular part of the job, although project or relief leadership may be required.
The ideal candidate will possess:
Through growth and change, the San Mateo Medical Center (SMMC) remains committed to providing quality and compassionate medical care to meet the health needs of the community. Located in San Mateo, California, the SMMC is an acute care facility providing healthcare to our community and surrounding service area since 1930.
The SMMC is seeking an experienced Hospital Billing Specialist to perform difficult, technical, complex billing functions along with data entry and business services support work. The successful incumbents will research, and compliantly bill for services provided at SMMC hospital and clinics using a third-party claim editing system according to varies payer guidelines and regulations; manage and monitor a caseload of accounts; research and resolve billing questions with fiscal intermediaries, physicians, and others; enter, retrieve, and interpret data using a hospital billing system; prepare reports and maintain accurate records. The Hospital Billing Specialist successfully bills and resolves hospital and physician claims while adhering to HIPAA and payer regulation. Lead direction of others is not a regular part of the job, although project or relief leadership may be required.
The ideal candidate will possess:
- Proven experience with medical claims billing and follow-up, including two years of hospital and/or clinical billing and collections.
- Experience with Medicare, Medi-Cal, and Commercial insurance billing and follow-up guidelines.
- Excellent written and oral communication skills, and solid organization skills.
- Ability to establish and maintain effective working relationships with physicians, internal and external department staff, and respective payer representatives.
- Familiarity with various Patient Accounting/Billing Systems: Invision/OAS, Data Systems Group Claims editing, and Colburn Hill follow-up system.
- Proficiency in Microsoft Excel and Word.
- The ability to resolve complex accounting.
- Ability to resolve patient concerns regarding their accounting.
- Knowledge of Governmental payer policies and regulations.
- Operate standard office equipment, personal computer, telephone equipment, fax machine, and scanner.
Source : County of San Mateo