Billing Clerk
Not Disclosed•Full-TimeOn-site
location_on2812, South Grade Road, Alpine, San Diego County, California, 91901, United States
About the Role
The Billing Clerk serves as a vital support pillar within the Fiscal Department, ensuring the financial integrity of patient care services. Reporting to the Billing and Coding Supervisor, this role bridges the gap between clinical documentation and revenue cycle management. The position is designed for a detail-oriented professional who thrives in a fast-paced environment, managing the end-to-end billing lifecycle from charge verification to final payment collection.
In this capacity, you will act as the first point of contact for the Billing Department, handling receptionist duties while simultaneously managing complex administrative tasks. Your day will involve verifying patient eligibility, ensuring accurate coding compliance, and processing claims through the PM/EHR system. You will play a critical role in resolving claim rejections, managing patient payment plans, and communicating with payers to secure timely reimbursements. Success in this role requires a balance of technical precision in medical billing and the interpersonal skills necessary to interact professionally with patients, providers, and insurance representatives.
Hiring Process & Application Instructions
Candidates must submit a completed SIHC Application and Authorization Form to Human Resources prior to the closing date. All applicants are required to successfully pass a pre-screening process, which includes a tuberculin skin test or x-ray and a blood/urine drug screening. Health must be adequate to perform all duties of the position.
Equal Opportunity & Culture
SIHC is committed to fostering a culture of compliance and integrity. Every employee plays a key role in maintaining this standard, with mandatory participation in compliance training and a heightened awareness of department-specific regulations. We expect all staff to report violations or suspected violations of policies promptly.
We value honesty, trustworthiness, and the ability to work effectively as a team. Our environment requires staff to be sensitive to the diverse needs of our patients and to interact with people of all social and ethnic backgrounds with professionalism and courtesy.
Indian Preference: In accordance with the Indian Preference Hiring Act (25 USC 472), preference may be given to qualified Native American Indians for this vacancy. Applicants claiming this preference must be enrolled or eligible for enrollment as an American Indian with their Tribe and must attach verification (Form BIA-4432) to their application.
Work location
Work model: On-site
2812, South Grade Road, Alpine, San Diego County, California, 91901, United States
Alpine, California
Key Responsibilities
- check_circleEnsure all expected charges are received from providers
- check_circleReview documentation for new patients and specialty programs
- check_circleVerify appropriate use of CPT, ICD-10 codes, and modifiers
- check_circleProcess daily claims and perform claim edits
- check_circleCorrect claim rejections through the clearinghouse
- check_circleCollect outstanding balances from insurance and patients
- check_circleEstablish and maintain patient payment plans
- check_circleProvide additional documentation to ensure timely reimbursement
- check_circleReview remit codes from EOB and ERA to identify denials
- check_circleCreate EFT and fiscal batches while posting payments
- check_circle
Requirements
- verifiedCertificate from a medical institute or Associate of Arts/Science Degree
- verified2 years experience in Medical/Dental/Pharmacy/Behavioral Health field
- verifiedPrior billing and collection experience
- verifiedKnowledge of medical terminology, anatomy, physiology, CPT, HCPCS, and ICD-10 coding
- verifiedValid California driver's license
- verifiedAbility to pass pre-screening including TB test and drug screening
Nice to Have
Certificate from a medical institute or an Associate of Arts or Science Degree and at least two (2) years of experience in Medical/Dental/Pharmacy/Behavioral Health field. Prior billing and collection experience. Previous IHS/FQHC experience. NextGen Healthcare EHR/EMR experience.
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Skills, education and keywords
Skills: Medical Terminology, Anatomy, Physiology, CPT, HCPCS, Icd-10, Nextgen Healthcare Ehr/emr, PM, Clearinghouse, Eft.
Education: Associate of Arts or Science Degree preferred.
Frequently asked questions about Billing Clerk at Southern Indian Health Council
What does a Billing Clerk at Southern Indian Health Council do?expand_more
A Billing Clerk at Southern Indian Health Council is responsible for the following: Ensure all expected charges are received from providers; Review documentation for new patients and specialty programs; Verify appropriate use of CPT, ICD-10 codes, and modifiers; and Process daily claims and perform claim edits.
What are the requirements for this Billing Clerk role?expand_more
Southern Indian Health Council is looking for candidates who meet the following requirements: Certificate from a medical institute or Associate of Arts/Science Degree; 2 years experience in Medical/Dental/Pharmacy/Behavioral Health field; Prior billing and collection experience; Knowledge of medical terminology, anatomy, physiology, CPT, HCPCS, and ICD-10 coding; Valid California driver's license; and Ability to pass pre-screening including TB test and drug screening.
Where is the Billing Clerk role at Southern Indian Health Council located?expand_more
Billing Clerk at Southern Indian Health Council is based in 2812, South Grade Road, Alpine, San Diego County, California, 91901, United States. This is a on-site role.
Is this Billing Clerk job remote, hybrid, or on-site?expand_more
Southern Indian Health Council has listed this Billing Clerk role as on-site.
How much experience is required for this Billing Clerk role?expand_more
Billing Clerk at Southern Indian Health Council typically requires 2+ years of relevant experience at the mid level level.
What skills do you need for the Billing Clerk role at Southern Indian Health Council?expand_more
Key skills for Billing Clerk at Southern Indian Health Council include Medical Terminology; Anatomy; Physiology; CPT; HCPCS; Icd-10; Nextgen Healthcare Ehr/emr; and PM.
What education is required for Billing Clerk at Southern Indian Health Council?expand_more
Educational requirements for this role: Associate of Arts or Science Degree preferred.
What category does the Billing Clerk role belong to?expand_more
Billing Clerk at Southern Indian Health Council is part of the healthcare & nursing job category on Recrutus.
About Southern Indian Health Council
Southern Indian Health Council operates as a Native American organization based in Alpine, California, within the medical practices industry. The entity is dedicated to safeguarding and enhancing the physical, mental, and spiritual well-being of the American Indian community. By focusing on holistic care, the organization addresses diverse health needs through a unified approach that respects cultural values.
The council delivers a comprehensive suite of services designed to meet the specific requirements of its population. These offerings include professional health care, dental treatment, wellness programs, and essential social services. This integrated model ensures that individuals receive support across multiple dimensions of their lives rather than isolated medical interventions.
As a regional provider, the organization maintains a strong presence in Alpine, California, serving as a vital resource for local residents. The operational scope emphasizes accessibility and cultural competency, ensuring that care remains relevant and effective for the community it supports. Through these dedicated efforts, the council continues to build a healthier environment for American Indian families.
Browse more roles: All Southern Indian Health Council jobs, healthcare & nursing jobs on Recrutus.