Billing specialist jobs in Oceanside, CA - 303 jobs
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Billing Specialist
Group Billing Coordinator
Accounts Receivable Specialist
Billing Assistant
Bill Collector
Billing Analyst
Medical Billing Manager
Accounts Receivable/Staff Accountant
Academy of Our Lady of Peace 3.4
Billing specialist job in San Diego, CA
School Mission Statement & Profile Founded and rooted in the Gospel values of the Catholic Church and the charism of the Sisters of St. Joseph of Carondelet, the Academy of Our Lady of Peace (OLP) empowers young women in an innovative learning environment that honors the individual while fostering community and develops faith-filled leaders dedicated to the "love of God and the dear neighbor without distinction."
OLP is a school of approximately 750 students, committed to creating a diverse and inclusive educational community. The school emphasizes 21st-century learning, academic excellence, and the development of leadership skills. Our professional culture values collaboration, lifelong learning, and a growth mindset. Students are encouraged to actively participate in the school community, and OLP graduates are prepared to make a positive impact in STEAM fields and beyond.
Position Overview
The Accounts Receivable Accountant is a non-exempt, full-time on-site position. The Accounts Receivable Accountant at the Academy of Our Lady of Peace (OLP) is an integral team member of the Business Office. This position is responsible for accounting functions, ensuring accurate and timely financial information. Creates financial transactions that include posting information to accounting journals, worksheets, and accounting software systems. The Accounts Receivable Accountant manages all aspects of accounts receivable management, including but not limited to tuition and reconciling accounts.
Essential Responsibilities
Record revenue from all sources and provide accounting support .
Record and manage tuition and fee payment, collection and recording in the general ledger and FACTS (subledger)
Oversee enrollment of students including collection of tuition contracts, ensuring tuition accounts set up and collection and recording of registration fees.
Communicate with Admissions departments regarding the status of returning students during re-enrollment
Review
Requirements / Qualifications
Comments and Other Information
The Academy of Our Lady of Peace (OLP), located at 4860 Oregon Street, San Diego, CA 92116, is in an area that may experience earthquake activity and is near a low flood zone. For more information on potential natural hazards, please visit the California Governor's Office of Emergency Services at *********************************
Fair Chance Act Compliance
OLP will consider qualified applicants with a criminal history in accordance with the California Fair Chance Act. You are not required to disclose your criminal history or undergo a background check until after a conditional job offer has been made. If a background check reveals information that OLP believes is directly related to the position, you will have the opportunity to explain the circumstances, provide mitigating evidence, or dispute the accuracy of the report. For more information, visit ***********************************************
Equal Opportunity Employment
The Academy of Our Lady of Peace is an Equal Opportunity Employer and is committed to creating an inclusive environment where all qualified applicants receive equal consideration for employment. OLP prohibits discrimination and harassment based on race, color, religion, sex, gender identity, gender expression, sexual orientation, national origin, disability, age, genetic information, marital status, veteran status, or any other protected characteristic under federal, state, or local law.
$43k-53k yearly est. 7d ago
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Billing Specialist
Pacer Staffing
Billing specialist job in San Diego, CA
Payment Application Specialist - San Diego, CABillingSpecialist role in Patient Financial Services - HomeCare (Unit: RCHHC-2555-9999). Onsite full-time position in San Diego, CA 92111. 16-week contract with possible temp-to-hire.
Schedule
Day shift: 5x8-hour (08:00 - 16:30)
Requirements
Experience: Minimum 2 years (5 years preferred) in payment posting using Brightree (BT) system or related homecare billing; focus on commercial payers
Education: High school diploma required (must provide copy of diploma and/or transcripts)
Key Details
Accurate payment application and account reconciliation in homecare setting
Emphasis on commercial payer processing and Brightree navigation
Stable contract opportunity in high-demand San Diego healthcare hub
$31k-42k yearly est. 1d ago
Medical Biller/Collector
Tri-City Medical Center 4.7
Billing specialist job in Oceanside, CA
Tri-City Medical Center is a full-service acute-care hospital located in Oceanside, California, serving the communities of Oceanside, Vista, Carlsbad, and San Marcos. Known for its Gold Seal of Approval, the hospital features two advanced clinical institutes and a team of physicians specializing in over 60 medical fields. As a leader in robotics and minimally invasive technologies, Tri-City Medical Center has been delivering high-quality healthcare services to the local community for over 50 years. The hospital's facilities include the main campus, outpatient services, and the Tri-City Wellness Center in Carlsbad.
The position characteristics reflect the most important duties, responsibilities and competencies considered necessary to perform the essential functions of the job in a fully competent manner. They should not be considered as a detailed description of all the work requirements of the position. The characteristics of the position and standards of performance may be changed by TCMC with or without prior notice based on the needs of the organization.
Maintains a safe, clean working environment, including unit based safety and infection control requirements.
Reviews patient bills for accuracy and completeness; obtains missing information
Knowledge of insurance company or proper party (patient) to be billed; identify and bill secondary or tertiary insurances
Utilize a combination of electronic health record (EHR) to perform billing duties; maintain an accurate, legally compliant medical record
Process claims as they are paid and credit accounts accordingly
Review insurance payments for accuracy and compliance with contract discounts
Review denials or partially paid claims and work with the involved parties to resolve the discrepancy
Manage assigned accounts, ensuring outstanding/pending claims are paid in a timely manner and contact appropriate parties to collect payment
Communicate with health care providers, patients, insurance claim representatives and other parties to clarify billing issues and facilitate timely payment
Consult supervisor, team members and appropriate resources to solve billing and collection questions and issues
Maintain work operations and quality by following standards, policies and procedures; escalate compliance issues to Business Office Manager.
Prepare reports and forms as directed and in accordance with established policies
Perform a variety of administrative duties including, but not limited to: answering phones, faxing and filing of confidential documents; and basic Internet and email utilization
Provide excellent and professional customer service to internal and external customers
Function as a contributing team member while meeting deadlines and productivity standards
Qualifications:
Minimum of 1 year of experience posting in a health care setting.
Strong background in customer service.
Competencies in the areas of leadership, teamwork and cooperation.
Strong ethics and a high level of personal and professional integrity.
Ability to understand medical/surgical terminology.
Educated on and compliant with HIPAA regulations; maintains strict confidentiality of patient and client information.
Extensive knowledge on use of email, search engine, Internet; ability to effectively use payer websites
Preferred experience with billing systems such as GE Centricity & SRS Caretracker
Strong written, oral and interpersonal communication skills; Ability to present ideas in a business-friendly and user-friendly language; Highly self-motivated, self-directed and attentive to detail; team-oriented, collaborative; ability to effectively prioritize and execute tasks in a high pressure environment
Ability to read, analyze and interpret complex documents. Ability to respond effectively to sensitive inquiries or complaints from employees and clients. Ability to speak clearly and to make effective and persuasive arguments and presentations
Education:
High school diploma or equivalent, required.
Associate's Degree in Business Administration, preferred.
Certifications:
Certified Medical Reimbursement Specialist (CMRS) certification, preferred.
Please follow following link Medical Biller/Collector - OSNC in Oceanside, California | Careers at Tri-City Medical Center
$34k-40k yearly est. 3d ago
Billing Analyst
LHH 4.3
Billing specialist job in San Diego, CA
Looking to gain great exposure company wide and will be able to build your professional experience? If you live in San Diego, or already have a move date already set, and are interested in a hybrid position with an industry leading and thriving San Diego based company please keep reading and apply right away.
Responsibilities of this hybrid Billing Analyst job include:
Correspond and follow-up daily with customers regarding billing questions
Handle inbound calls/emails and resolve customer inquiries
Review and address exception reports daily
Provide a high level of customer service
Ability to work independently and be flexible and able to adapt to change
Analytical with information files
Minimum requirements:
Bachelor's degree required
2+ years of work experience in a corporate setting
Proficient with Excel (VLOOKUPs, pivot tables, SUMIFs)
Prior experience with SQL and Tableau as well as any large ERP experience is preferred
Ethical, accountable, and strong communication skills with the ability to provide a high level of customer service
Benefit offerings include medical, dental, vision, life insurance, short-term disability, and 401k. Available paid leave may include Paid Sick Leave, where required by law; any other paid leave required by Federal, State, or local law; and Holiday pay upon meeting eligibility criteria.
Equal Opportunity Employer/Veterans/Disabled
.
To read our Candidate Privacy Information Statement, which explains how we will use your information, please visit *****************************************
$49k-64k yearly est. 21h ago
Accounts Receivable Specialist
Arizona Tile 4.2
Billing specialist job in San Diego, CA
About Us....
Arizona Tile is a leading, nationally recognized tile and slab distributor. We offer high-quality products and unparalleled service to our customers across the West Coast. With 800+ employees in over 10 states, our success comes from the founding concept that goodwill toward others, including our fellow employees, is good business. Working at Arizona Tile isn't just another job, it's a family!!
Our Commitment....
At our Company we are Committed to Supporting our Employees in providing an outstanding experience for our customers and by providing an environment that values hard work and dedication.
What We Offer.....
Safety 1st Organization
Competitive pay
Benefits: Medical, Dental, Vision, & More!
H.S.A or H.R.A with Company Contributions
401k Retirement Savings Program with discretionary employer match
Progressive career development and training
Employee assistance program
Paid Time Off (PTO) and Holiday Pay
Service recognition and awards
Family oriented environment with open communication, collaborative atmosphere, and team-building events
What You Will Do:
As the Accounts Receivable Specialist, you will process account receivables information daily, handle new cash/credit applications, balance daily cash drawers, and reconcile data to ensure accuracy of all payments.
Your Top Accountabilities in the Role:
Solicit timely payments on customer accounts by making collection calls, emails and/or facsimile and work with collections agencies and/or attorneys, as needed.
In-put Accounts Receivable daily, including data entry and reconciliation of data to ensure the accuracy of all payments. Balance daily cash drawer closings.
Process new Cash and Credit Applications maintain Job Accounts.
Maintain pre-liens filings, waivers/releases, and communicate with Sales Department.
Produce timely and accurate "end of month" reports. Support the department with management of Accounts Receivable excel databases.
Maintaining documentation of all correspondence.
Provide a high level of customer service, in a positive manner, when responding to questions and requests.
Position Requirements:
Education: High school diploma or equivalent.
Experience: 3+ years of prior credit and accounts receivable experience in a multi-state environment, prior understanding of construction credit and working with large accounts preferred.
Functional Skills:
Solid understanding of credit accounting principles.
High-level of accuracy with strong organizational skills and ability to handle multiple deadlines.
High degree of dependability. Able to work without close supervision, responds to management direction, takes responsibility for own actions and keeps commitments.
Exhibits professionalism. Willingness to collaborate with team members and support them by successfully executing their job responsibilities with the goal of advancing the team's effectiveness.
Reacts well under pressure. Treats others with respect and consideration. Steady personality.
Exceptional customer service skills with the ability to provide individualized service.
Technology Aptitude/Other: Proficient to advanced computer skills working within Windows environment, including Word, Excel and Outlook. Familiarity with accounting software system
Language Skills: Strong written and excellent verbal communication skills to work with our customers (in person or by telephone) and to communicate with all levels of the organization.
Core Values & Behaviors: Safety Focused, Customer Driven, Conscientious, Strong Communication Skills, Hard Work Ethic, Ethical Integrity, Teamwork, and Tenacity. Friendly and warm demeanor with excellent interpersonal skills.
Other Important Information:
Reports To: Accounts Receivable Lead
Work Schedule: Monday - Friday, 8 - 5 pm, some overtime may be needed.
Direct Reports: None; works with other departments as needed.
Travel: None
Work Environment: The employee is mostly exposed to a climate-controlled office environment, but may occasionally be exposed to an environment with moderate noise level. The employee may be exposed to outside weather conditions and may work with and in the proximity to material handling equipment, including forklift, as well as packaged, cement-based products such as grouts, cleaning, and sealing chemicals for tile and stone.
Physical Requirements: The employee is regularly required to sit, use hands to finger, handle and feel, and to talk and hear. The employee is frequently required to walk, reach with hands / arms, stoop, kneel, crouch, or crawl. The employee is occasionally required to stand, climb, or balance and could frequently lift and/or move up to 15 lbs. Specific vision abilities are required which include color vision, close vision, distance vision, and the ability to adjust focus.
We are an Equal Employment Opportunity Employer, Drug-Free Workplace, and a participant of the E-Verify Program where required by state law. Requests for reasonable accommodation should be directed to Arizona Tile's Human Resource Department.
$42k-54k yearly est. 7d ago
E-Billing Coordinator
Dentons Us LLP 4.9
Billing specialist job in San Diego, CA
Atlanta, GA, USChicago, IL, USLos Angeles, CA, USWashington DC, DC, USHouston, TX, USDenver, CO, USShort Hills, NJ, USSt. Louis, MO, USKansas City, MO, USDallas, TX, USSan Diego, CA, USPhoenix, AZ, US Jan 23, 2026 Dentons US LLP is currently recruiting for an E-Billing Coordinator to be resident in any Dentons US office. This position will be responsible for the administration of the electronic billing processes for all domestic clients and e-vendors. The ideal candidate will possess strong analytical and problem solving skills. The E-Billing Coordinator will report to the E-Billing Supervisor. This is a hybrid position with a requirement to work in-office three days per week.
**Responsibilities:**
+ Responsible for the administration of all electronic billing clients and vendors; inclusive of documentation, training, analysis, reporting, and security.
+ Maintain profile for each electronic billing vendor being utilized; inclusive of policies and contact information. Communicate all e-billing guidelines, and updates to key members of the Finance Team.
+ Meet with billing attorney(s) or secretaries to discuss electronic billing processes.
+ Generate and distribute e-billing reports on a weekly basis.
+ Work within the E-billing Hub and help troubleshoot/resolve electronic billing problems.
+ Update and manage client websites
+ Work with Billing Coordinators and timekeepers in order to ensure compliance with all Electronic Billing Guidelines.
+ Work with Collections Team to solidify proactive follow-up on aged invoices submitted electronically.
+ Address all rejected invoices within two business days, once transferred from the billing coordinator.
+ These duties may be ongoing or ad hoc in nature.
+ Other duties as may be assigned to fully meet the requirements of the position.
**Experience & Qualifications:**
+ 2+ years e-billing experience (e.g. Serengeti, Collaborati, Legal Precision, eBillingHub)
+ Law firm experience preferred
+ Experience with Elite Enterprise or 3E and ME-Billing applications
+ Excellent verbal and written communication skills
+ Self-starter that delivers superior customer service
+ Must be detail-oriented with excellent organizational skills
+ Ability to work in a fast-paced environment
+ Flexibility to work overtime, as needed
Pursuant with states' laws, the salary range for this position is $70,000 - $92,000, based on experience and local market.
Dentons US LLP offers a competitive salary and benefits package including medical, dental, vision, 401k, profit sharing, short-term/long-term disability, life insurance, tuition reimbursement, paid time off, paid holidays and discretionary bonuses.
_Dentons US LLP is an Equal Opportunity Employer - Disability/Vet. Pursuant to local ordinances, we will consider for employment qualified applicants with arrest and conviction records._
_If you need any assistance seeking a job opportunity at Dentons US, LLP, or if you need reasonable accommodation with the application process, please call our Talent Acquisition Coordinator at *************** or contact us at *************************************._
**About Dentons**
Redefining possibilities. Together, everywhere. For more information visit ***************
**Nearest Major Market:** Atlanta
$70k-92k yearly 4d ago
Logistics Billing Settlement Specialist (EM7148)
Samsung SDS America 4.5
Billing specialist job in Santa Ana, CA
Why join Samsung SDS? Samsung SDS plays a leading role in the global logistics market with unique logistics services. With its innovative IT technology, SDS developed the integrated logistics solution called "Cello" in 2010, started its logistics business in 2012 and expanded its logistics business with Business Process Outsourcing.
Smart Logistics Division tech-driven innovators shaping the future of global supply chain solutions. Our logistics platform Cello blends cutting-edge IT with real-world logistics, offering smarter, faster, and more reliable services to our clients around the world.
To learn more about Samsung SDS America, Inc. please visit ***********************
Responsibilities
We are seeking a detail-oriented and experienced Inbound Billing & Settlement Specialist to manage end-to-end billing and settlement processes for inbound domestic transportation services across the U.S. This role plays a key part in ensuring accurate cost control, timely payments, and strong vendor coordination, contributing directly to the efficiency and financial integrity of our U.S. logistics operations.
* Be responsible for handling all billing and settlement related to the containers transported by the truckers that you are assigned
* Work with the internal systems required for daily functions
* Use accounting knowledge & work experiences and possess understanding of how billing & settlement functions affect financial statements
* Assist in maintaining and enhancing billing procedures, systems, and documentation to improve operational efficiency and data accuracy
* Track and analyze transportation costs and performance data to support budgeting and reporting
* Prepare and compile necessary documentation to support internal and external audits concerning inland transportation charges
* Coordinate with Finance, Accounting departments for monthly closings and accruals
* Coordinate with transportation vendors to facilitate compliance with established contractual billing terms
* Ensure accurate and timely invoice verification, reconciliation, and processing on or before deadlines as per requirements and according to company policy
* Audit carrier freight bills and interpret rates and contracts including DEM/DET, operational accessory invoices based on contracts with customers/truckers and process in system for payment in a timely manner or stipulated credit terms
* Review essential freight documentation that supports charges invoiced and required for payment
* Identify, Investigate and diagnose potential errors and duplicate carrier billing
* Perform collection activity for AR payments and manage overdue/past due invoices from customers within agreed terms
* Produce daily/weekly/monthly/quarterly/yearly reports with combining necessary data and report to SDSA management, customers and HQ.
* Prepare regular settlement status report for SDSA management, customer, carriers and HQ
* Perform ad-hoc reporting, as required
* Contribute to the improvement of settlement processes by supporting the development and implementation of automated solutions to minimize manual processing
* Manage, analyze & prepare correction forms for billing corrections in access database
* Collaborate with 3PL providers, carriers, and internal stakeholders to resolve billing disputes or discrepancies by leading effective and continuous communications
* Perform other job related duties as required
$38k-51k yearly est. 5d ago
Medical Biller - Cal AIM
St. Vincent de Paul Village 4.2
Billing specialist job in San Diego, CA
The Medical Biller for Cal AIM Services is responsible for accurately billing and processing claims for Enhanced Care Management (ECM), Recuperative Care, Community Supports (CS), detox billing, and other Cal AIM-related services. This role ensures timely claim submission, compliance with DHCS and Managed Care Plan (MCP) requirements, and effective coordination with clinical, administrative, and data teams to support revenue integrity.
Essential Functions
Prepare, submit, and track claims for ECM, Recuperative Care, Community Supports, detox billing, and other Cal AIM service lines.
Verify eligibility and authorization requirements for all Cal AIM beneficiaries.
Ensure documentation meets Cal AIM billing standards, including encounter data, activity logs, and service notes.
Reconcile encounters and claims to identify discrepancies or missing documentation.
Process claims corrections, resubmissions, and voids as needed.
Collaborate with ECM/CS/RCP program staff, care managers, and supervisors(stakeholders) to clarify documentation needs and share reconciliation reports of reimbursements.
Communicate with Managed Care Plans regarding claim follow-up, denials, Appeals and payment discrepancies.
Provide feedback and training to program staff regarding billing requirements and documentation best practices.
Maintain accurate records of claims, payments, denials, Appeals and adjustments.
Generate billing reports, productivity summaries, and revenue tracking related to Cal AIM services.
Support audits and data validation efforts as required.
On time, completion of assigned training and policies.
Performs other duties as assigned.
Qualifications
High school diploma or equivalent.
5-7 years of medical billing experience.
Knowledge of Medi-Cal or Medicaid billing processes.
Strong data entry accuracy and attention to detail.
Ability to review clinical documentation and apply billing rules.
Experience with CalAIM, ECM, or Community Supports billing.
Familiarity with DHCS/health plan portals.
Proficient computer skills, with intermediate proficiency in MS Office (Word, Excel, and PowerPoint)
The Pay Rate for this role is based on several factors including the candidate's experience, qualifications, and internal equity. The initial offer usually falls between the minimum and midpoint of the applicable salary range. Pay Band N5: $25.71 - $34.06 (Midpoint: $29.65).
$25.7-34.1 hourly Auto-Apply 41d ago
Legal Billing Coordinator
Falcon Rappaport & Berkman
Billing specialist job in Irvine, CA
Falcon Rappaport & Berkman (FRB) is a rapidly growing law firm focused on an interdisciplinary approach to the practice of law. Our team is composed of thought leaders across a variety of practice areas, including some of the nation's leading voices on web3, taxation and a variety of other fields. We bring together experts across all of our practice areas to achieve extraordinary results which would not be achievable at a more narrowly focused firm. Respect, appreciation and quality of life come first and foremost. We care deeply about the people we bring into our firm and offer a unique emphasis on professional development. We work collaboratively to drive client success.
FRB currently seeks to add a secondary BillingSpecialist and Analyst to assist in rapid growth of the billing department at our California office.
Responsibilities include:
Following up with attorneys for prospective client activity reports
Attorney bill reviews and updating bills
High volume monthly bill runs
Calculating attorney commissions and payouts
Assistance with Key Performance Indicator (KPI) reports
Professional client communication and interaction
Requirements:
BS degree in accounting in mandatory- higher degree level is preferred
Minimum of 2 years of advanced Excel use
Minimum 2 years QuickBooks experience
Experience with legal billing preferred
2+ years law firm experience
Strong organizational and time management skills
Excellent written and verbal communication skills
Proficiency with Microsoft Office Suite - Mandatory
Paralegal certification a plus
Perks:
Flexible work hours including option for hybrid work.
Transparent communication across the department and the firm at large.
Encouragement of continuing education (both presenting and attending), networking, and suggestions to improve firm operations.
Salary range: 60-80k
For More Open Positions Visit us at: ********************************** Our Mission WOONGJIN, Inc. is a rapidly growing team who provides a range of unique, exceptional, and enhanced services to our clients. We have a strong moral code that includes the service of goodness without expectations of reward. We are motivated by the sense of responsibility and servant leadership.
Benefits
Medical Insurance
Vision Insurance
Dental Insurance
401(k)
Paid Sick hours
Job Description
Responsible for settlement related to freight forwarding business
Reinforce relationships with customers and carriers by leading effective and continuous communications
Prepare regular settlement status reports for company management, customer, pages and headquarters
Improve the settlement processes by developing automated processes to reduce manual processing
Process customer billing accurately on or before deadlines as per requirements and according to company policy for each division
Manage, analyze & prepare correction forms for billing corrections in the access database.
Review and discuss essential freight documentation that supports charges invoiced and is required for payment.
Use accounting knowledge & work experiences and possess the understanding of how Billing functions affect P&L.
Audit carrier freight bills and interpret tariffs and contracts including DEM/DET and operational accessory invoices based on contracts with customers/truckers and process in the system for payment on time or stipulated credit terms.
Work with the internal technologies required for daily functions.
Investigate and diagnose potential errors and duplicate carrier billing.
Perform ad-hoc reporting, as required.
Perform other job-related duties as required
Pay: $30 - $32/ hr. (DOE)
Qualifications
Bilingual is highly preferred (English/Korean)
Experience in AR &AP, Invoicing, Customer Service or Transportation/Logistics related experience
Bachelor's Degree
Ability to quickly grasp situations to make decisions to ensure problems are resolved and corrected
Effective written and verbal communications skills to communicate with various levels of the organization
Proficient with Outlook, Microsoft Office applications PowerPoint, Word
Proficient with Excel, especially v-lookups and pivot tables
Ability to work overtime when needed
Additional Information
All your information will be kept confidential according to EEO guidelines.
*** NO C2C ***
$30-32 hourly 1d ago
Billing Coordinator - Stop Area Six
Healthright 360 4.5
Billing specialist job in San Diego, CA
.
The Specialized Treatment for Optimized Programming (STOP) Program Area Six connects California Department of Corrections and Rehabilitation inmates and parolees to comprehensive, evidence-based programming and services during their transition into the community, with priority given to those participants who are within their first year of release and who have been assessed to as a moderate to high risk to reoffend. Area Six includes San Diego, Orange, and Imperial counties. STOP subcontracts with detoxification, licensed residential treatment programs, outpatient programs, professional services, and reeentry and recovery housing throughout the program area to assist participants with reentry and recovery resources.
The Billing Coordinator is responsible for coordinating receipt of and reviewing Community Based Provider (CBP) subcontractor client data for accuracy and entering and retrieving data from/to the Automated Reentry Management System (ARMS) as needed for the purpose of reconciliation, invoicing and billing.
Key Responsibilities
Data Entry and Reconciliation Responsibilities: Review outgoing and incoming CBP subcontractor client data for accuracy. Enter data found on the verification form into the STOP database to begin the reconciliation process. When discrepancies are found, coordinate with CBPs and internal departments to resolve and reconcile the discrepancies. Ensure accuracy of all data entered.
Billing and Invoicing Responsibilities: Process STOP CBP weekly verifications by extracting from the STOP database, and possibly further verifying in the ARMS database, and forwarding to the CBPs via email (and sometimes fax) for approval. Produce the monthly billing and forward to CBPs for billing authorization and approval. Ensures accuracy of all billing and resolves any discrepancies identified. Act as liaison between Fiscal department and STOP to ensure ease of information flow. Produce invoices for other various services (i.e. transportation, links etc.).
Administrative Responsibilities: Produce monthly client and CBP related reports as needed for the California Department of Corrections and Rehabilitation (CDCR), with supervisor review and approval, using the ARMS database. Assure confidentiality of all incoming and outgoing client data. As assigned, performs other clerical tasks.
And, other duties as assigned.
Education and Knowledge, Skills and Abilities
Education and Experience Required:
High School Diploma or equivalent.
Previous work experience working with spreadsheets.
Previous work experience performing data entry.
Type 45 wpm.
Strong math skills.
Desired:
Bilingual.
AA Degree; Experience may substitute for this on a year-by-year basis.
We will consider for employment qualified applicants with arrest and conviction records.
In compliance with the California Department of Public Health's mandate, all employees must be able to provide proof of COVID-19 vaccination. Medical and religious exemptions are available.
Tag: IND100.
$45k-55k yearly est. Auto-Apply 60d+ ago
Reimbursement/Billing Specialist
Afinida
Billing specialist job in Escondido, CA
The Reimbursement/BillingSpecialist is responsible for a portfolio of accounts receivable and oversees the billing cycle from charge review, claims submission and follow-up. The employee is engaged in a proactive and independent collection of outstanding balances for specially handled IV Services, LLC., pharmacy accounts. The Reimbursement/BillingSpecialist will serve as the technical expert for complex workflows. The specialist is responsible for handling charge review edits, claim edits and preparation, insurance follow-up, denial resolution, and necessary follow-up to ensure accurate payment.
Supervisory Responsibilities:
None
Duties/Responsibilities:
Maintain a portfolio of accounts receivable for the pharmacy;
Follow accounts through the Pharmacy revenue cycle, including but not limited to: verifying patient coverage information, updating registration, completing charge review, claim edits and claim submissions, and following up with third party payers and patients to facilitate prompt resolution of outstanding account balances;
Communicate with Revenue Cycle teams, payors and others to resolve account problems; participate in meetings as needed to address payor concerns;
Evaluate the payment status of outstanding third-party claims and resolve impediments to payment by providing information such as medical records, itemization of charges, information regarding other insurance benefits, and explanation of charges;
Actively participates in both external third-party audits and in internal audits and quality improvement initiatives, maintains documentation of current workflows, assists with special projects, and works closely with third party billing teams, Dalrada Corporate Accounting teams, and with Pharmacy Department Leadership and Prior Authorization teams;
Perform complex patient account follow-up activities and actively participates in quality improvement initiatives to improve accounts receivable processes;
Accurate and timely processing of appeals to various pertinent payers or programs;
Review and validate adjustments to accounts in the insurance portfolio based on insurance reimbursement, coverage, contracts and services provided;
Review charges to ensure filing to correct guarantor (e.g. work comp vs. personal/family);
Conduct collection calls to patients with outstanding balances and negotiate full payment from patients and/or assist patients in setting up a payment plan;
Provide education to patients on UW Health's financial assistance policy and application process and direct patients to the appropriate resources as necessary (e.g. Financial Counseling, Patient Relations);
Receive, document, and respond to all patient correspondence in a prompt and courteous manner; accurately document all actions taken to reconcile outstanding balances;
Assist patients in coordinating appeal processes with their insurance company;
Review self-pay undistributed and credit balance accounts and provide refunds to patients as necessary;
Accurately post EFT, cash and checks made payable to IV Services, LLC., to the billing system;
Ensure that all transactions are completed within the appropriate guidelines, policies and regulations, typically the same day received;
Process electronic remittance files, payor work queues, and generate payment reports to balance;
Communicate with IV Services, LLC., staff, insurance companies, financial institution and third-party payors to resolve issues related to proper posting of payments;
Complete work on special projects, queries and reports as assigned;
Other duties may be assigned as needed by management.
Required Skills/Abilities:
In-depth understanding of Pharmacy billing policies and procedures including NCPDP D.0 standards;
Proficiency in spreadsheet and database software;
Advanced analytic ability;
Ability to make good judgments in demanding situations;
Effective communication skills;
Ability to logically and accurately organize details;
Ability to manage multiple tasks with ease and efficiency;
Ability to work independently and be result oriented;
Positive, can-do attitude coupled with a sense of urgency;
Effective interpersonal skills, including the ability to promote teamwork;
Ability to ensure a high level of customer satisfaction including employees, patients, visitors, faculty, physicians and external stakeholders;
Ability to use various computer applications including EPIC, Microsoft Office, etc;
Basic math skills and knowledge of general accounting principles;
Knowledge of medical and insurance terminology, CPT, ICD coding structures, and billing forms (UB, UCF, 1500);
Maintain confidentiality of sensitive information;
Knowledge of local, state and federal healthcare regulations.
Education and Experience:
An Associate degree in Business, Finance, Health Information Management, or related field preferred;
3-5 years of experience in a healthcare revenue cycle or clinic operations role;
3-5 years of experience in an infusion pharmacy setting;
Experience with billing within the Caretend pharmacy platform;
Experience billing acute infusion and specialty pharmacy claims.
Physical Demands and Work Environment:
While performing the duties of this job, the employee may be regularly required to stand, sit, talk, hear, reach, stoop, kneel, and use hands and fingers to operate a computer, telephone, and keyboard;
Specific vision abilities required by this job include close vision requirements due to computer work;
Light to moderate lifting may be required;
Regular, predictable attendance is required; including quarter-driven hours as business demands dictate;
Moderate noise (i.e., business office with computers, phone, and printers, light traffic);
Ability to work in a confined area;
Ability to sit at a computer terminal for an extended period;
Hourly Rate:
$28.00 an hour
Disclaimer:
This is only a summary of the typical functions of the position or role, not an exhaustive or comprehensive list of all possible responsibilities, tasks, and duties. Additionally, responsibilities, tasks, and duties of the employee in this role might differ from those outlined in the and other duties may be assigned on a permanent or temporary basis based on business needs.
The Job Description is intended to be a general representation of the responsibilities and requirements of the job. However, the description may not be all-inclusive, and responsibilities and requirements are subject to change.
Equal Employment Opportunity
It is the policy of the Company to provide equal employment opportunities to all employees and employment applicants without regard to unlawful considerations of race, religion, color, national origin, sex, sexual orientation, gender identity or expression, age, sensory, physical, or mental disability, marital status, veteran or military status, genetic information, or any other classification protected by applicable local, state, or federal laws. This policy applies to all aspects of employment, including, but not limited to, hiring, job assignment, compensation, promotion, benefits, training, discipline, and termination. Reasonable accommodation is available for qualified individuals with disabilities, upon request.
$28 hourly Auto-Apply 27d ago
Experienced Automotive Billing Clerk
Irvine Auto Retail Inc.
Billing specialist job in Irvine, CA
Job Description
Location: Irvine, CA (On site) | Type: Full Time | Hourly Rate: $28-$30 an hr.
As a Billing Clerk, you're one of the most important team members. You will be responsible for efficiently processing all contract-related paperwork associated with the purchase and sale of new and used vehicles, ensuring timely and accurate completion and communication.
We're looking for an experienced Billing Clerk with automotive experience and a guest service approach to daily responsibilities. Your work is key in ensuring operational effectiveness and ultimately ensuring guests leave 100% satisfied with their Norm Reeves experience. This role is a great entry point into your career with us!
What You'll Do:
Process all Car Deals daily
Review and ensure accuracy of all incentives, rebates, commissions, and sales tax in deal
Pull warranties and gaps from the deal for processing including cancellations
Process all Payoffs on trades as soon as possible, including any payoff differences
Process and follow all necessary steps for rollbacks
Other duties, as assigned
What You'll Need:
Knowledge of the Automotive industry mandatory
Proficiency in Computers- Microsoft Office, databases and spreadsheets
Full-time availability. You'll also need to be at least 18 years old
A valid driver's license and acceptable driving record
Strong communication skills with both staff and guests
Excellent organizational and follow up skills
Maintain a professional appearance and work ethic
Ability to multi-task in a fast-paced environment
What We Offer:
Unlock Your Potential - Free Training & Limitless Advancement Opportunities to Skyrocket Your Career Growth.
Invest in Yourself - Tuition Reimbursement
Health and Wellness First - Comprehensive Medical, Dental, and Vision Plans to Keep You and Your Family Thriving.
Enjoy Complimentary Group Life Insurance for Added Peace of Mind.
Your Network, Your Success - Employee Referral Bonus Program - Earn While Building a Stronger Team.
Shop and Save with our generous discounts on Sales, Service, and Parts at Any Norm Reeves Location.
Secure Your Future - Build Wealth with 401k Matching
Smart Savings, Smart Choices - Section 125 Cafeteria Plan & Flexible Spending Account - Save on Taxes for Qualified Expenses.
$28-30 hourly 23d ago
Billing Assistant
Ameripharma
Billing specialist job in Laguna Hills, CA
AmeriPharma is a rapidly growing healthcare company where you will have the opportunity to contribute to our joint success on a daily basis. We value new ideas, creativity, and productivity. We like people who are passionate about their roles and people who like to grow and change as the company evolves.
AmeriPharma's Benefits
Full benefits package including medical, dental, vision, life that fits your lifestyle and goals
Great pay and general compensation structures
Employee assistance program to assist with mental health, legal questions, financial counseling etc.
Comprehensive PTO and sick leave options
401k program
Plenty of opportunities for growth and advancement
Company sponsored outings and team-building events
Casual Fridays
Job Summary
The Billing Administrator plays a vital role in supporting the financial operations of AmeriPharma by ensuring the accuracy and efficiency of the billing and collections process. This position is responsible for a range of administrative and clerical tasks to assist with billing, cash posting, collections, and overall reimbursement activities. This role requires strong communication and time management skills, as well as the ability to work collaboratively with internal departments such as billing, collections, and reimbursement. The Billing Administrator will support day-to-day operations, assist in maintaining accurate financial records, and help ensure timely reimbursement from insurance payers and patients. On-Site, Laguna Hills, Ca.
Schedule Details
Location: On-Site, Laguna Hills, Ca.
Hours: Monday-Friday, 7:00 AM to 3:30 PM
Duties and Responsibilities
Retrieve and provide Explanation of Benefits (EOBs) to the cash posting team
Sort incoming correspondence and route to the appropriate reimbursement specialist
Scan and upload daily correspondence into designated folders
Distribute incoming faxes to appropriate team members
Submit claims electronically through web portals
Assist with projects and ad hoc assignments from the Billing Manager
Support the unapplied cash reporting process
Assist with patient balance adjustments and related account tasks
Collaborate with the Lead Biller and Lead Collector to ensure workflows are followed accurately
Enter and manage data using spreadsheets and Google Sheets
Maintain and organize departmental documents and communications
Assist in processing refund and overpayment requests
Perform general clerical duties such as answering phones and preparing reports or internal documents
Carry out other duties as assigned by management
Required Qualifications
Ability to read, write, and speak fluent English.
Strong interpersonal and communication skills.
Excellent time management, prioritization, and multi-tasking abilities.
Ability to work independently and collaboratively in a fast-paced environment.
Strong analytical and problem-solving skills.
Proficiency with spreadsheets, document scanning, and online claim submission portals.
Ability to understand and interpret data, reports, and insurance documentation.
Attention to detail and ability to handle sensitive information with confidentiality.
Education and Experience Requirements
High School Diploma or equivalent.
At least one year of experience in billing, collections, clerical, or administrative support.
Preferred Qualifications
Knowledge of ICD-10, CPT, HCPCS codes, and the CMS HCFA 1500 form & electronic billing.
Familiarity with CPR+ software.
Billing certification or coursework.
Understanding of medical billing processes for both commercial and government insurance payers.
Prior experience with electronic billing systems and terminology used in specialty or infusion pharmacy is a plus.
AmeriPharma's Mission Statement
Our goal is to achieve superior clinical and economic outcomes while maintaining the utmost compassion and care for our patients. It is our joint and individual responsibility daily to demonstrate to outpatients, prescribers, colleagues, and others that We Care!
Physical Requirements
The following physical activities described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions and expectations
EEO Statement
The above statements are intended to describe the work being performed by people assigned to this job. They are not intended to be an exhaustive list of all responsibilities, duties and skills required. The duties and responsibilities of this position are subject to change and other duties may be assigned or removed at any time. AmeriPharma values diversity in its workforce and is proud to be an AAP/EEO employer. All qualified applicants will receive consideration for employment without regard to race, sex, color, religion, sexual orientation, gender identity, national origin, age, protected veteran status, or on the basis of disability or any other legally protected class.
$33k-42k yearly est. 60d+ ago
Medical Billing Specialist
American Family Care Ladera Ranch 3.8
Billing specialist job in Ladera Ranch, CA
Benefits/Perks
Great small business work environment
Flexible scheduling
Paid vacation, health insurance, dental insurance, retirement benefit, and more!
Company OverviewAmerican Family Care (AFC) is one of the largest primary and urgent care companies in the U.S. providing services seven days a week on a walk-in basis. Our state-of-the-art centers focus on the episodic treatment of acute illnesses and injuries, workers' compensation, and occupational medicine. Each location is equipped with an onsite lab and in-house x-ray capability.AFC is the parent company of AFC Franchising, LLC (AFCF). This position works directly with a franchised business location. The specific job duties and benefits can vary between franchises. Candidates Must Have:
At least 2 years of experience in medical practice billing with exposure to working with denials, appeals, insurance collections, and related follow-up
Working knowledge of Local and National Coverage Determinations and payor policies, and how to use them
Must have ICD-10 and CPT coding assessment skills, CPC certification is preferred
Strong proficiency in MS Office applications (Word, Excel, PowerPoint), and computerized billing systems is required.
A patient-first, mission-oriented mindset
Duties:
Organize and prioritize all incoming claims and denials.
Evaluate medical claims and coverage policy documentation to determine validity for an appeal.
Responsible for ensuring and monitoring the effectuation of all decisions as a result of the follow-up of unpaid/denied claims with insurance carriers.
Responsible for adhering to health care billing procedures, documentation, regulations, payment cycles, and standards.
Work accounts to resolution.
Collection from patients and insurances.
Works collaboratively and effectively with all other departments and functions to maximize operational efficiency and service and ensure consistency in addressing appeals issues.
Work independently to identify and resolve complex client problems.
Work with leadership to develop appropriate policies and procedures.
Maintain current knowledge of healthcare billing laws, rules and regulations, and developments.
Comply with all applicable HIPAA policies and procedures and maintain confidentiality.
Compensation: $18.00 - $23.00 per hour
PS: It's All About You!
American Family Care has pioneered the concept of convenient, patient-centric healthcare. Today, with more than 250 clinics and 800 in-network physicians caring for over 6 million patients a year, AFC is the nation's leading provider of urgent care, accessible primary care, and occupational medicine. Ranked by Inc. magazine as one of the fastest-growing companies in the U.S., AFC's stated mission is to provide the best healthcare possible, in a kind and caring environment, while respecting the rights of all patients, in an economical manner, at times and locations convenient to the patient.
If you are looking for an opportunity where you can make a difference in the lives of others, join us on our mission. We invite you to grow with us and experience for yourself the satisfying and fulfilling work that the healthcare industry provides.
Please note that a position may be for a company-owned or franchise location. Each franchise-owned and operated location recruits, hires, trains, and manages their own employees, sets their own employment policies and procedures, and provides compensation and benefits determined by that franchise owner. Company-owned locations provide a comprehensive benefits package including medical, dental, vision, disability, life insurance, matching 401(k), and more.
We are an Equal Opportunity Employer.
$18-23 hourly Auto-Apply 60d+ ago
Billing Specialist I
Meternet
Billing specialist job in Fallbrook, CA
We are experiencing consistent growth and are looking for a detail-oriented, motivated BillingSpecialist I to join our team. If you thrive in a structured environment, enjoy working with data, and are eager to contribute to a high-impact team, we'd love to hear from you!
What You'll Do:
Develop and maintain a strong knowledge of our products, services, and billing systems.
Organize and prepare billing data to ensure accuracy and efficiency.
Process manually read meters and upload data into the billing system.
Review and resolve meter-related discrepancies.
Estimate accounts as needed to maintain billing accuracy.
Process ACH and e-bill credits.
Analyze balance and error reports to identify and correct inconsistencies.
Generate and distribute billing statements, e-bill notifications, and penalties.
Commit billing files and oversee distribution.
Identify and recommend process improvements to streamline operations.
Assist with additional billing-related tasks as assigned.
What We're Looking For:
Proficiency in Microsoft Excel, including formulas, pivot tables, and data analysis.
Strong attention to detail with excellent organizational and time management skills.
Effective communicator with strong written and verbal abilities.
Self-motivated with a focus on accuracy and process efficiency.
Strong data entry skills with a typing speed of 45 WPM and high attention to detail
Education and Experience:
High school diploma or equivalent.
At least one year of experience in data management, billing, or a related field.
Why Join MeterNet?
Health, Dental, and Vision Insurance - Comprehensive coverage to support your well-being.
401(k) with Employer Matching - Plan for your future with company-supported savings.
Generous PTO Accrual - Enjoy paid time off that grows with your tenure.
11 Paid Company Holidays - Extra time to relax and recharge.
Opportunities for Growth - Be part of a company that invests in your professional development.
Collaborative & Supportive Team - Work in a dynamic, fast-growing environment where your contributions matter.
About the Role:
This is a 100% on-site position based out of our Fallbrook office; remote or hybrid work is not available for this role.
The role follows a 4x10 schedule (four 10-hour days), with shifts either Monday-Thursday or Tuesday-Friday.
Equal Employment Opportunity Statement
MeterNet is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees. We do not discriminate based on race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
$32k-43k yearly est. 18d ago
Billing Specialist: Multi Sites - Orange County Region
Main Template
Billing specialist job in Santa Ana, CA
Telecare's mission is to deliver excellent and effective behavioral health services that engage individuals in recovering their health, hopes, and dreams. Telecare continues to advance cultural diversity, humility, equity, and inclusion at all levels of our organization by hiring mental health peers, BIPOC, LGBTQIA+, veterans, and all belief systems.
Shifts Available:
Full-Time | 8:30AM - 5:00PM
Expected starting wage range is $21.00 - $24.11. Telecare applies geographic differentials to its pay ranges. The pay range assigned to this role will be based on the geographic location from which the role is performed. Starting pay is commensurate with relevant experience above the minimum requirements.
POSITION SUMMARY
The BillingSpecialist is responsible for all billing related tasks including collection of billing data, data entry into County IRIS, running reports and reconciliation of data.
ESSENTIAL FUNCTIONS
• Demonstrate the Telecare mission, purpose, values and beliefs in everyday language and contact with the internal and external stakeholders
• Enters members served information, enrollment, eligibility information and billing data into County IRIS
• Reconciles Caminar data to County IRIS data to ensure that all services have been billed accurately and within required timeframes
• Performs computer interface (uploads) of data to Corporate office
• Updates Health Benefit eligibility verification for all members served on a monthly basis
• Assists Business Office Manager with all aspects of payroll preparation, accounts payable, and invoice research
• Assists the Business Office Manager with private insurance billing, verifying coverage and mailing bills
• Verifies benefit status on new members served
• Duties and responsibilities may be added, deleted and/or changed at the discretion of management.
QUALIFICATIONS
Required:
• One (1) year of general office experience
• High school diploma or a G.E.D.
• The ability to work with minimum supervision, set work priorities and function as a self-starter
• This position is contingent upon successful completion and receipt of acceptable results of the applicable post-offer physical examination, 2-step PPD test for tuberculosis, passing applicable criminal background clearances, excluded party sanctions, and degree or license verification
• If the position requires driving, a motor vehicle clearance and proof of auto insurance is required prior to hire. Additional regulatory, contractual or local requirements may apply
• Must be at least 18 years of age
• Must be CPR, Crisis Prevention Institute (CPI), and First Aid certified on date of employment or within 60 days of employment and maintain current certification throughout employment
• All opportunities at Telecare are contingent upon successful completion and receipt of acceptable results of the applicable post-offer physical examination, 2-step PPD test for tuberculosis, acceptable criminal background clearances, excluded party sanctions, and degree or license verification. If the position requires driving, valid driver license, a motor vehicle clearance and proof of auto insurance is required at time of employment and must be maintained throughout employment. Additional regulatory, contractual or local requirements may apply
SKILLS
• Data entry experience and knowledge of spreadsheets, word processing and database software.
EOE AA M/F/V/Disability
If job posting references any sign-on bonus internal applicants and applicants employed with Telecare in the previous 12 months would not be eligible.
$21-24.1 hourly 60d+ ago
Billing Clerk
Join The IBP Team
Billing specialist job in Escondido, CA
We are seeking a skilled and experienced Billing Clerk in construction to join our team.
Key Responsibilities:
Prepare and process progress billings, AIA invoices, time-and-material billings, and change orders
Review contracts to ensure billing aligns with agreed terms and conditions
Track job costs, retainage, lien waivers, and certified payroll as required
Verify labor, materials, and subcontractor costs for billing accuracy
Submit invoices to clients and follow up on payment status
Assist with month-end close, accounts receivable reporting, and audit requests
Coordinate with project managers regarding billing schedules and discrepancies
Ensure compliance with company policies and construction industry regulations
Maintain organized billing records and project documentation
Preferred Qualifications:
Experience as a Billing Clerk in construction
Familiarity with construction billing methods (AIA, progress billing, retainage
Proficiency in accounting or construction software (e.g., Sage, Procore, Viewpoint, QuickBooks
Strong attention to detail and organizational skills
Basic understanding of accounting principles
Ability to meet deadlines in a fast-paced environment
Experience working with multiple projects simultaneously
Excellent knowledge of MS Office, Wor,d and Excel
Strong communication skills, both written and verbal
Physical demands: This position is primarily sedentary and performed in a professional office environment. The employee must be able to remain seated for extended periods, operate a computer and other office equipment, and perform repetitive motions such as typing and mouse use. The role may occasionally require standing, walking, bending, and lifting light office supplies up to 15 pounds. The employee must have sufficient visual acuity to read printed materials and electronic displays, as well as adequate hearing and speech to communicate effectively in person and by phone.
Benefits:
Medical, dental, and vision coverage
Supplemental Insurance (Short- and Long-Term disability, hospital indemnity, accident, critical illness, supplemental life insurance)
Company Paid Life Insurance
401(K) (Pre-Tax and Post-Tax) Roth 401(k) with company matching
Longevity Stock Program
IBP Foundation
Scholarship opportunities
Employee Financial Assistance Program
Paid vacation and holidays
Opportunities for growth and advancement
OJ Insulation is part of the Installed Building Products (IBP) family of companies. Integrity, knowledge, and excellent service - These aren't just words, they represent how OJ Insulation does business. Whatever your needs, you can trust us to offer high-quality insulation materials and service. Find your next career opportunity and join our team with OJ Insulation!
EEO Statement:IBP is an equal-opportunity employer.
$32k-43k yearly est. 6d ago
Billing Clerk
Consultative Search Group
Billing specialist job in Newport Beach, CA
A global professional services firm seeks a Billing Clerk to join their dynamic team.
Responsibilities
Basic editing of bills in 3E system
Assist in finalizing bills
Pull back up receipts in Chrome River
Perform basic accounting tasks
Prepare accruals
Prepare basic Excel reports
Opportunity to perform procedures in e-billing hub as well as third party sites
Assist Finance department in ad hoc tasks as required
Qualifications
Associate Degree in Accounting/Business or other related fields is a minimum, a four-year college degree is preferred.
Candidates in their final year of school may be considered for an internship position.
Understanding of accounting principles AR and legal terminology
Previous accounting experience (including strong internships) is a plus. Candidates with billing experience will be strongly considered.
Must have strong organizational skills and have ability to prioritize and multitask
Must be detail and deadline oriented
Good oral and written communication skills
Computer and software skills, requiring proficiency with Microsoft Office suite (Word, Outlook, Excel)
Capacity to follow instructions and able to work independently within role and as directed
Flexible, adaptable, with an attitude of teamwork and cooperation.
Many of our job openings can be viewed at **********************************************
$32k-43k yearly est. 12d ago
Billing Specialist
Total Vision
Billing specialist job in Mission Viejo, CA
Duties/Responsibilities
• Reviews and processes patient statements for multiple locations.
• Process refund requests and post refunds into the system.
• Reads and interprets insurance Explanations of Payments (EOP) or Explanations of Benefits (EOB) with understanding and can independently take appropriate next steps to resolve issues.
• Posts payments, charge backs, adjustments and remark codes in a timely and accurate manner.
• Research difficult ERAs/EOBs.
• Research open accounts receivables, resolves claims errors and reprocesses claims for successful payment.
• Maintains integrity of patient ledgers, following guidelines provided to manage balances.
• Submits claims electronically and by paper as required. This includes sending secondary claims with attached explanation of benefits.
• Answers incoming questions from patients and clinic team members regarding open account balances and billing issues.
• Ensures compliance with all HIPAA/HITECH requirements as legally required and all applicable federal, state and local regulations.
• Acts as a liaison and provides excellent customer support to teammates in our optometry practices.
• Minimal travel to field practices may be required to meet with peers, develop strong rapport, and understand our business.
• All other duties as assigned.
Qualifications
Required Skills/Abilities
• Has excellent customer service skills.
• Presents professionally and communicates clearly.
• Embraces and aims for a paperless work environment.
• Demonstrates ability to solve problems and work as a positive member of a team.
• Is technology savvy and appreciates finding new ways to make processes easier.
• Can stay focused on projects and can multi-task when needed.
• Brings his/her best self to work every day and can contribute positively to a team environment.
• Desires a long-term growth opportunity.
Additional Desired Experience
• Healthcare payment posting • Healthcare insurance and patient collections
• Acuity Logic, Compulink, Eyefinity PM and/or Officemate experience a plus
• Optical billing, Vision Therapy billing, Medicare & Medi-Cal billing experience a plus
Requirements
• Hearing. Perceiving the nature of sounds at normal speaking levels with or without correction. Ability to receive detailed information through oral communication, and to make the discriminations in sound.
• Hand dexterity and eye and hand coordination is critical.
• Lifting. Exerting up to 20 pounds of force occasionally, and/or up to 10 pounds of force frequently, and/or a negligible amount of force constantly to move objects. Use of one or both arms and wrists in lifting files, documents, etc. on a frequent basis.
• Sitting. Must be able to sit for long periods of time.
• Standing. Particularly for sustained periods of time.
• Talking. Expressing or exchanging ideas by means of the spoken word. Those activities in which they must convey detailed or important spoken instructions to other workers accurately or quickly.
• Travel as needed between practices.
• Required to have visual acuity to determine the accuracy, neatness, and thoroughness of the work assigned or to make general observations of structures. Must be able to read a computer screen for long periods of time.
• Walking. Moving about on foot to accomplish tasks, particularly for long distances or moving from one workstation to another.
How much does a billing specialist earn in Oceanside, CA?
The average billing specialist in Oceanside, CA earns between $28,000 and $49,000 annually. This compares to the national average billing specialist range of $27,000 to $45,000.
Average billing specialist salary in Oceanside, CA