Data and Billing Coordinator - Pediatric Clinic
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At a glance
Requirements
Credentials this posting asks for.
Job overview
Prime Healthcare is hiring a Data and Billing Coordinator - Pediatric Clinic. The Data and Billing Coordinator at St. Francis Medical Center is responsible for managing internal billing claims, insurance information, and electronic data interface submissions. This role involves coordinating with the LA County-Dept. of Mental Health and Medi-Cal, tracking billing claims, and preparing financial reports. The coordinator also handles Electronic Health Record (EHR) application activities, including user training and system enhancements.
Key focus areas include Gather, review, and approve internal billing claims, Setup, verify, and update insurance account information, and Verify eligibility for services.
Successful candidates bring Bachelor's In Computer Science Or Related Field, Experience With Electronic Health Record Systems, and Medi-Cal Billing Knowledge. Important skills include Reviewing Billing Claims, Approving Billing Claims, Setup Insurance Account Information, Verification Insurance Account Information, Updating Insurance Account Information, and Verifying Eligibility.
Skills & qualifications
Skills
Qualifications
Full job description
Overview
St. Francis Medical Center is one of the leading comprehensive healthcare institutions in Los Angeles. St. Francis provides vital healthcare services for the 700,000 adults and 300,000 children in our community who count on the hospital for high quality and compassionate medical care. St. Francis is recognized for its full range of diagnostic and treatment services in specialties including Cardiovascular, Surgical, Orthopedics, Obstetrics, Pediatrics, Behavioral Health, and Emergency and Trauma Care. In addition, the hospital offers a broad array of education and outreach programs that advance community health. St. Francis Medical Center is a Comprehensive Stroke Center, STEMI Receiving Center, ED Approved for Pediatrics, Geriatric ED, Level III Neonatal ICU, and Level II Trauma Center. Please visit www.stfrancismedicalcenter.com for more information. Join an award-winning team of dedicated professionals committed to compassion, quality, and service!
Responsibilities
The Coordinator is responsible for gathering, reviewing, and approving internal billing claims; setup, verification and updating insurance account information; verifying eligibility; preparing related billing claims data reports; coordinates Medical billing claims submission via electronic data interface (EDI); functions as liaison with LA County- Dept. of Mental Health (LAC-DMH) and Medi-Cal; tracks and monitors billing claims and approval; provides monthly report analysis to Department Director assists in preparation for year-end final reports. Responsible for coordinating activities related to Electronic Health care (HER) application including user training, maintenance, application enhancement, develops new reports, and problem solving; functions as liaison with software vendor and lead trainer.
Qualifications
Education and Work Experience
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Bachelor’s Degree in Computer Science or related filed.
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Experience with Electronic Health Record (HER) systems.
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Working knowledge of Medi-Cal and/or third-party billing and reimbursement.
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Knowledge of billing requirements and collection regulations for Federal, State, and local agencies and third-party submissions.
Pay Transparency
St. Francis Medical Center offers competitive compensation and a reasonable compensation estimate for this role is $29.96. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.
Employment Status
Per Diem
Shift
Days
Equal Employment Opportunity
Company is an equal employment opportunity employer. Company prohibits discrimination against any applicant or employee based on race, color, sex, sexual orientation, gender identity, religion, national origin, age (subject to applicable law), disability, military status, genetic information or any other basis protected by applicable federal, state, or local laws. The Company also prohibits harassment of applicants or employees based on any of these protected categories. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf
Privacy Notice
Privacy Notice for California Applicants: https://www.primehealthcare.com/wp-content/uploads/2024/04/Notice-at-Collection-and-Privacy-Policy-for-California-Job-Applicants.pdf
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FacilitySt. Francis Medical Center
LocationUS-CA-Lynwood
ID2026-271202
CategoryBusiness Professional
Position TypePer Diem
ShiftDays
Job TypeNon-Exempt
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