Hospital Billing and Follow Up Specialist - Limited Term

Full Job Description

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 San Mateo Medical Center is seeking an experienced Hospital Billing and Follow Up Specialist - Limited Term to perform difficult, technical, complex billing functions and business services support work.

The successful incumbents will research and compliantly follow up on denied claims for services provided to county justice inmates.

Researching varies payer guidelines and regulations; manage and monitor a caseload of accounts; 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 and Follow Up Specialist successfully resolves correctional facility, hospital and physician claims while adhering to HIPAA and payer regulation.

They will also 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 Medi-Cal, 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 EPIC Billing Systems:
• 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.

The current vacancies are two Limited-Term, Full Time, vacancies.

Qualifications

Knowledge of:

• Medical terminology as related to patient services support work.
• Policies and procedures related to patient services, office support and hospital or clinic business office activities.
• Office administrative practices and procedures, including filing and the operation of standard office equipment.
• Basic business data processing principles and the use of word processing or computing equipment.
• Proper form for typed materials.
• Business arithmetic, including percentages and decimals.
• Correct English usage, including spelling, grammar and punctuation.
• Record keeping principles and procedures.

Skill/Ability to:

• Perform technical, specialized, complex or difficult patient services office support work.
• Organize, prioritize and coordinate work activities.
• Read, interpret and apply rules, policies and procedures.
• Organize, research and maintain patient and general office files.
• Establish and maintain effective working relationships with those contacted in the course of the work.
• Compose routine correspondence from brief instructions.
• Make arithmetic calculations with speed and accuracy.
• Use initiative and sound independent judgment within established guidelines.
• Operate standard office equipment, including a word processor, personal or on-line computer, and centralized telephone equipment.

Note: Specific positions may require the ability to type at a rate of 40 net words per minute from printed copy.

Education and Experience:
Any combination of education and experience that would likely provide the required knowledge, skills and abilities is qualifying. A typical way to qualify is:

• One year of journey level office support experience in a patient services setting.

Additional Information

If you are interested in being considered for this extra-help position, the following materials must be electronically submitted in a Word or PDF format.

• Cover letter with responses to Supplemental Questions (maximum of 2 pages)
• Resume

Please include the words "Hospital Billing and Follow Up Specialist - Limited Term" in the subject line of email submission. Please submit the required materials electronically via email to:

1. A) List the types of government/ insurance billing and follow-up experience you have. B) Include how you became familiar with each type of government insurance billing. C) Be sure to include any experience with UB-04 and CMS 1500 claim billing.

2. Give one specific work-related example that best demonstrates your ability to resolve a difficult or complex billing problem.

• Why was the problem difficult or complex?
• What did you do?
• What was the outcome? Be specific.

3. Describe your experience using computer-based patient account software in a healthcare setting. Include the vendor and product names of the software product(s) you have used, and the work functions you have performed using the software. Be specific.

4. Please describe your understanding of the hospital revenue cycle. Please include responses to the following:

• What role does a billing specialist play in the cycle?
• What is considered compliant billing?
• What is a remittance advice?

Application materials will be reviewed as they are received, and well-qualified candidates will be contacted for an interview.


NOTE: Application materials are only accepted via e-mail. Materials sent via regular mail and/or fax will not be accepted. Submittals that do not include all required elements (cover letter with responses to supplemental questions and a resume) will not be considered.

About the CountySan Mateo County is centrally located between San Francisco, San Jose, and the East Bay.

With over 750,000 residents, San Mateo is one of the largest and most diverse counties in California and serves a multitude of culturally, ethnically, and linguistically diverse communities.The County of San Mateo, as an employer, is committed to advancing equity in order to ensure that all employees are welcomed in a safe and inclusive environment.

The County seeks to hire, support, and retain employees who reflect our diverse community. We encourage applicants with diverse backgrounds and lived experiences to apply.

Eighty percent of employees surveyed stated that they would recommend the County as a great place to work.

The County of San Mateo is an equal opportunity employer. We seek to hire, support, and retain employees who reflect our diverse community.

We encourage applicants with diverse backgrounds and lived experiences to apply.

Analyst: Debbie Kong (03122026) (Patient Services Specialist - E414)