Enrollment & Billing Representative jobs in Santa Cruz, CA

Enrollment & Billing Representative is responsible for the accurate enrollment and billing process for an insurance organization. Maintains related documents, updates corresponding records and responsible for enrollment and billing query. Being an Enrollment & Billing Representative requires a high school diploma or its equivalent. Typically reports to a supervisor or manager. The Enrollment & Billing Representative possesses a moderate understanding of general aspects of the job. Works under the close direction of senior personnel in the functional area. May require 0-1 year of general work experience. (Copyright 2024 Salary.com)

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Billing Manager
  • Salud Para La Gente
  • Watsonville, CA FULL_TIME
  • Description

    Salud Para La Gente (SALUD) provides high quality, comprehensive and cost-effective healthcare to underserved low-income communities in the Monterey Bay area, including Santa Cruz County and North Monterey County. We began in Watsonville 1978 as a storefront “free clinic,” and with the ever growing need for health services, in 1992 became a federally qualified community health center (FQHC). Today we are a primary health care network with 11 clinic sites and over 400 employees and continue to provide high quality services to patients of all ages.


    SALUD offers a competitive salary and benefits package and a collaborative culture that values excellence, achievement, innovation and compassion.   


    We are seeking a dynamic, organized and detail-oriented Billing Manager. Under the supervision of the Controller, the Billing Manager will be responsible for supervision of the billing staff, as well as ensure all areas of the billing department run smoothly. The Billing Manager will work in coordination with the Controller to ensure accuracy and the proper processing of all billing functions.


    This position supports the organization's mission, vision, and values through excellence and competence, collaboration, innovation, respect, commitment to our community, and accountability and ownership. 

    Requirements

      

    DUTIES AND RESPONSIBILITIES:

    1. Oversee daily billing department, accounts receivables and credentialing activities.

    2. Supervise billing clerks, billing leads, accounts receivable specialists, and credentialing coordinator including performing evaluations and making recommendations for career development.

    3. Maintain patient accounts receivable aging; review aging report and KPIs with the billing staff routinely to ensure aging goals are met and recommend changes based on trends.

    4. Evaluate billing errors and provide updates and training recommendations to Controller and billing leads.

    5. Regularly meets with Controller to provide updates and recommendations regarding departmental performance.

    6. Analyze and maintain appropriate billing procedures and accounts receivables procedures to insure compliance of fiscal policies.

    7. Analyze and maintain optimal accounts receivable workflows and performance to meet agency needs.

    8. Oversee credentialing coordinator’s tasks, workflows and deadlines to insure agency needs are met.

    9. Conduct meetings on a regular basis with the billing staff to discuss any procedural changes, as well as provide updates regarding health insurance billing or state funded programs.

    10. Conduct monthly individual meets with billing clerks, billing leads, accounts receivable specialists and credentialing coordinators to discuss workflow, goals and development. 

    11. Prepare and evaluate a variety of departmental data reports in order to analyze the billing functions, accounts receivables and credentialing status and make recommendations to Controller as needed.

    12. Maintain open communication with the billing department, accounts receivables and credentialing and remain up-to-date and knowledgeable of all billing activities.

    13. Maintain interdepartmental communication regarding billing related issues.

    14. Analyze work flow and provides recommendations to Controller for improvements as needed.

    15. Provide training and support for revenue cycle staff as needed to ensure billing accuracy and efficiency.

    16. Work with Data Services department and Systems to adhere to programs required for reporting and billing functions.

    17. Oversee daily revenue cycle interdepartmental activities.

    18. Attend, conduct and/or facilitate interdepartmental meetings to optimize workflows for all departments involved in revenue cycle.

    19. Create and update trainings and documentation related to billing for interdepartmental trainings.

    20. Analyze workflows of interdepartmental activities and make recommendations to controller and appropriate committee.

    21. Identify and monitor compliance of coding and billing of all interdepartmental functions, services, supplies, medications and overall other revenue cycle related areas.

    22. Review new and existing coding and pricing request for existing and current programs/services.

    23. Assist with training to new and existing clinical providers.

    24. Provide training and support for revenue cycle staff as needed to ensure billing accuracy and efficiency.

    25. Coordinate training and support for billing lead and billing clerks with state programs, specialty programs and third party payers.

    26. Ensure a productive work environment and achievement of goals through strategies and practices in line with the CARE fundamentals of communication.

    27. Respond to co-worker and patient needs in ways that are helpful and beyond expectation.

    28. Perform a variety of office support and general clerical duties as needed.

    29. Perform other duties as assigned.


    EMPLOYMENT STANDARDS:

    Knowledge of: Basic and computerized billing procedures, especially relating to billing of insurances and state and federal programs.

    Ability to: Use basic math accurately; prepare reports; learn and draft new policies and procedures; organize work efficiently, using sound independent judgment; think independently and analytically; use a variety of standard office and computer equipment; communicate effectively and respectfully with a diverse group of individuals and clients, demonstrating a knowledge of and sensitivity to their needs; develop and maintain effective working relationships with Salud Para La Gente staff, patients, health insurance companies, government, and community agency representatives, and the public; and manage billing staff.


    MINIMUM QUALIFICATIONS:

    · Bachelor’s Degree in business administration or health related field or 5 years

    health insurance billing experience.

    · Two years experience working with the following state programs and rules:

    MediCal

    - Medicare

    - Child Health Disability Program (CHDP)

    - Family Pact

    - Healthy Families

    - Bilingual Spanish/English.

    - Minimum of two years of supervisorial experience.

    - Proficient in  Microsoft Office including Outlook, Word and Excel

    - One year experience with standard ICD-10 medical and dental coding (experience

    to have occurred within the past two years).

    PHYSICAL DEMANDS:

    · Standing, walking, sitting, typing, reaching, bending, moving and/or lifting up to 50 pounds.


     

    SALARY & BENEFITS

    Salary Range: $84,771.90-$103,040.77 per year 

    Benefits package includes Medical, Dental, Vision, and Life insurances, Voluntary Life Insurance, Voluntary Long Term Disability, 401(k) with match, PTO and 12 paid Holidays.


    **Salud is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, disability, age, sexual orientation, gender identity, national origin, veteran status, or genetic information. Salud is committed to providing access, equal opportunity and reasonable accommodation for individuals with disabilities in employment, its services, programs, and activities. To request reasonable accommodation, contact the Salud Human Resources Department, [831-728-8250, and HRDept@splg.org].**



  • 7 Days Ago

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Billing Clerk
  • Salud Para La Gente
  • Watsonville, CA FULL_TIME
  • DescriptionSalud Para La Gente (SALUD) provides high quality, comprehensive and cost-effective medical, dental, behavioral health, optometry and other services to underserved, low-income communities i...
  • 26 Days Ago

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Sales Representative
  • Kimball Midwest
  • Santa Cruz, CA FULL_TIME
  • DESCRIPTION Who Are You?Are you someone who likes the idea of unlimited earning potential? At Kimball Midwest, you have the opportunity to earn what you are worth.Do you value less windshield time and...
  • Just Posted

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Sales Representative
  • Trade-In Real Estate
  • Capitola, CA CONTRACTOR,FULL_TIME
  • Trade-In Real Estate gives homeowners the option to sell their home with flexible terms that cater to a number of seller situations. In a nutshell, we stay in business by buying homes at a discount, d...
  • 13 Days Ago

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BDC Representative
  • Ocean Honda - Santa Cruz
  • Soquel, CA FULL_TIME
  • BDC Representative Victory Automotive Group is family owned and operated since 1997 with over 40 locations across the United States. We provide the best opportunities for all employees, customers, com...
  • 16 Days Ago

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Sales Representative
  • Lakeside Organic Gardens
  • Watsonville, CA FULL_TIME
  • Job description We are looking for a self-motivated, entrepreneurial, produce salesperson seeking a promising future and new direction to join our team. If you’re looking to develop a career and open ...
  • 1 Month Ago

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0 Enrollment & Billing Representative jobs found in Santa Cruz, CA area

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Property Administrator - San Jose
  • Cushman & Wakefield
  • San Jose, CA
  • Job Title Property Administrator - San Jose Job Description Summary Performs the administrative functions of the Propert...
  • 3/28/2024 12:00:00 AM

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Finance Associate
  • Stanford University
  • Stanford, CA
  • Department of Neurosurgery is seeking a Finance Associate who will be a key member of the finance team and will be respo...
  • 3/28/2024 12:00:00 AM

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Sr. Finance Analyst, Retail Network Development
  • Lucid
  • Newark, CA
  • **Sr. Finance Analyst, Retail Network Development** Newark, CA / Finance & Accounting / Full-Time Exempt **Leading the f...
  • 3/28/2024 12:00:00 AM

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Network Specialist / IT Technician
  • ClickAway
  • Santa Cruz, CA
  • Job Description Job Description Santa Cruz is looking for a skilled and knowledgeable technician whom knows how to build...
  • 3/28/2024 12:00:00 AM

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Trade Compliance Coordinator / Documentation Specialist
  • Careerbuilder
  • Watsonville, CA
  • Superior Foods International (SFI) is a global importer, distributor, and manufacturer of frozen fruits, vegetables, and...
  • 3/27/2024 12:00:00 AM

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Finance Associate - Residential & Dining Services
  • Avispa Technology
  • Stanford, CA
  • Finance Associate - Residential & Dining Services 1305568 A leading university is seeking a Finance Associate. The succe...
  • 3/27/2024 12:00:00 AM

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Licensed Insurance Customer Service Representative
  • A To Z Insurance Agency LLC
  • San Jose, CA
  • Job Description Job Description We are seeking a Licensed Insurance Customer Service Representative to join our team! Yo...
  • 3/26/2024 12:00:00 AM

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Property Administrator
  • Cushman & Wakefield
  • Palo Alto, CA
  • Job Title Property Administrator Job Description Summary Performs the administrative functions of the Property Managemen...
  • 3/25/2024 12:00:00 AM

Santa Cruz (/ˈsæntə ˈkruːz/, Spanish: Holy Cross) is the county seat and largest city of Santa Cruz County, California. As of 2013 the U.S. Census Bureau estimated Santa Cruz's population at 62,864. Situated on the northern edge of Monterey Bay, about 32 mi (51 km) south of San Jose and 75 mi (120 km) south of San Francisco, the city is part of the 12-county San Jose-San Francisco-Oakland Combined Statistical Area. Santa Cruz is known for its moderate climate, natural environment, coastline, redwood forests, alternative community lifestyles, and socially liberal leanings. It is also home to th...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Enrollment & Billing Representative jobs
$37,852 to $48,108
Santa Cruz, California area prices
were up 2.5% from a year ago

Enrollment & Billing Representative in Boca Raton, FL
Showing up in person often demonstrates determination and initiative that most employers will find alluring in a potential representative.
February 13, 2020