Billing Representative II

Billing Representative II - West Hills, CA, Monday to Friday, 8:00 AM to 5:00 PM Pacific

Pay range: $20.44 - $25.55 / hour

Salary offers are based on a wide range of factors including relevant skills, training, experience, education, and, where applicable, certifications obtained. Market and organizational factors are also considered. Successful candidates may be eligible to receive annual performance bonus compensation.

Benefits Information:
We are proud to offer best-in-class benefits and programs to support employees and their families in living healthy, happy lives. Our pay and benefit plans have been designed to promote employee health in all respects – physical, financial, and developmental. Depending on whether it is a part-time or full-time position, some of the benefits offered may include:
•    Day 1 Medical, supplemental health, dental & vision for FT employees who work 30+ hours
•    Best-in-class well-being programs
•    Annual, no-cost health assessment program Blueprint for Wellness®
•    healthyMINDS mental health program
•    Vacation and Health/Flex Time
•    6 Holidays plus 1 "MyDay" off
•    FinFit financial coaching and services
•    401(k) pre-tax and/or Roth IRA with company match up to 5% after 12 months of service
•    Employee stock purchase plan
•    Life and disability insurance, plus buy-up option
•    Flexible Spending Accounts
•    Matching gifts program
•    Education assistance through MyQuest for Education
•    Career advancement opportunities
•    and so much more!

In an environment where the patient is at the center of everything that we do the individuals in this position typically works with Billing Representatives and other employees handling complex billing issues for the purpose of collecting revenue for the organization. Will work with Patient, Client and/or Third Party insurance bills. 

• Analyzes and applies third party, client and patient payments and denials to accounts both manually and electronically

• Complies with departmental Business Rules and Standard Operating Procedures.

• Interprets explanation of benefits for appropriate follow up action.

• Completes and tracks refunds/adjustments to customer’s accounts, while providing necessary back-up information.

• Refund reporting generated from Billing Web IT

• Refund request review through Imaging Work Flow

• Contacts/coordinates with IT or third party carriers on file issues.

• Releases electronic files and resolves error reports. .

• Resolves and researches misdirected cash issues.

• Conducts data entry and remittance posting and reconciliation activities.

• Meets the performance goals established for the position in the areas of: efficiency, accuracy, quality, patient and client satisfaction and attendance.

Required Qualifications:

• High School Diploma / GED or equivalent work experience.
• Demonstrated ability using computer and Windows PC applications, such as Outlook, Excel, instant message, video conferencing.
• Strong keyboard and navigation skills and ability to learn new computer programs

• Required to have a dedicated work area established that is separated from other living areas and provides information privacy

• Ability to keep all company sensitive documents secure (if applicable)

Preferred Qualifications:

• Previous work experience in a fast-paced environment requiring strong multi-tasking skills

• Some College level classes/coursework

• Previous work experience in a customer service environment within the Healthcare / Insurance billing industry

• Medical terminology acumen and experience.

Preferred Skills:

• Ability to triage and handle escalated situations.

• Ability to work in a fast-paced environment.

• Ability to adapt to changes.

• Ability to develop and maintain client relationships.