Medical Billing Technician

About the position The County of El Dorado is dedicated to fostering a diverse and collaborative workplace where employees are empowered, respected, and valued. The Emergency Medical Services (EMS) division is committed to providing high-quality pre-hospital emergency care to residents and visitors. The Medical Billing Technician plays a crucial role in managing the financial aspects of ambulance services provided in the county. This position involves performing paraprofessional, technical, and specialized medical billing work that requires advanced knowledge of insurance and program requirements, as well as medical billing codes. The technician will audit medical bills and payments, maintain complex and detailed records using an electronic medical records system, and perform related duties as assigned. Under general supervision, the Medical Billing Technician will be responsible for a variety of tasks including routine to specialized medical billing support, providing direction and training to field personnel regarding documentation for billing purposes, and interpreting medical billing laws and regulations. The technician will identify discrepancies in billing, review source documents for errors, and submit claims to insurers. They will also review payment information for changes in reimbursement rates, notify internal staff of these changes, and establish procedures for billing new services and programs. The ideal candidate will have at least three years of full-time experience in medical billing and coding, with familiarity in private insurance, Medi-Cal/Medicare, and VA programs. Strong analytical skills, excellent communication abilities, and a commitment to continuous improvement are essential for success in this role. The technician will also be responsible for operational assistance with departmental computer applications, instructing others in the use of department-specific software, and troubleshooting system problems. This position offers the opportunity to work in a supportive environment that values professional development and employee well-being.

Responsibilities

• Perform routine to specialized medical billing support.

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• Provide direction, training, and work review of field personnel documentation for billing purposes.

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• Interpret medical billing laws and regulations; advise internal staff.

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• Identify discrepancies and review source documents to identify errors or omissions; review, correct, and submit or resubmit claims to insurers.

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• Review payment information for changes in reimbursement rates; notify internal staff of rate changes.

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• Review fee schedules for accuracy and recommend updates.

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• Review correspondence, notices, policies, and procedures from payors.

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• Identify changes in eligibility requirements, policies, and procedures; notify internal staff.

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• Establish procedures for billing new services, programs, and/or insurers.

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• Process medical billing claims; code diagnostic information and services; enter and retrieve billing information in specialized billing and/or medical records systems; review input for accuracy and compliance with insurance and program requirements.

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• Provide operational assistance of complex and specialized departmental computer applications to users of the medical billing record system; instruct others in use of department-specific software; perform minor troubleshooting of system problems; confer with system vendor to resolve specialized application problems.

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• Retrieve data from the medical billing record system and assist department staff in the development of reports.

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• Answer inquiries, provide information, and resolve complaints from clients, emergency medical transport providers, insurance companies, base hospitals, government agencies, and others.

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• May communicate with collection vendor regarding unpaid billings; provide patients with information regarding the collections process.

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• May process subpoenas and other requests for client records.

Requirements

• Equivalent to graduation from high school; AND three (3) years of experience processing and interpreting medical billing and coding.

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• Advanced knowledge of insurance and program requirements and medical billing codes.

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• Strong analytical skills and ability to work independently with minimal supervision.

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• Excellent communication and customer service skills.

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• Familiarity with private insurance, Medi-Cal/Medicare, and VA programs.

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• Proven track record of resolving billing discrepancies and ensuring accuracy in electronic medical records.

Nice-to-haves

• Certified Coding Specialist certificate issued by the American Health Information Management Association is highly desirable.

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• Ability to quickly adapt to changing legislation and organizational needs.

Benefits

• Competitive salaries and excellent benefits.

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• Telework opportunities consistent with business needs.

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• Down payment assistance for employees buying a home in El Dorado County.

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