Biller II

Description

Title: Biller II

Department: Billing

Location: Golden Circle, Santa Ana, CA 

Employment Status: Full-Time  

Salary: $26 hourly 

Position Purpose: The Biller II position is an intermediate level biller experienced in various healthcare specialties that can efficiently process moderate complex billing tasks across all service lines listed below, including Dental, while receiving exposure to other service lines directly and/or directly via special projects. This position will be well versed in all service lines listed below and will assist in the development and training of all entry-level billers (Biller I) when necessary. This position supports all service lines directly or during special projects, including but not limited to:

• Medical
• Behavioral Health 
• Medical Specialty Services
• Dental

FTOC’s Expectations of all Employees

· Adheres to all FTOC Policies and Procedures.

· Providing the upmost customer service experience to all clients

· Conducts self in a manner that always represents FTOC’s core values.

· Maintains a positive and respectful attitude with all work-related contacts.

· Communicates regularly with immediate supervisor about Departmental and FTOC concerns.

· Consistently reports to work as scheduled and in a timely manner prepared to perform the duties of the position.

· Meets productivity standards and performs duties as workload necessitates.

· Ability to train on all Learning Management Systems (LMS) by self-learning models from FTOC’s EMR. 

Core Duties and responsibilities, include but are not limited to:

1. Manage assigned billing work queues

2. Analyze and correct claim rejections and denials

3. Submit corrected claims and re-bills

4. Identify denial trends and escalate recurring issues

5. Monitor daily billing and rejections

6. Coordinate with eligibility, front desk, and clinical teams

7. Assist with payer correspondence and payment discrepancies

8. Support encounter submission review for FQHC compliance

9. Works independently with minimal supervision

10. Handles moderate to complex billing issues

11. Supports cross-department coordination

12. Assist with special projects as assigned

13. All other duties as assigned

*This job description in no way states or implies that these are the only duties to be performed by the employee. He or she will be required to follow any other instructions and to perform other duties, within scope, as assigned by his or her supervisor.

Teamwork and Interpersonal Skills:

· Displays an awareness of others' needs and consistently acts in their best interests.

· Exhibits courtesy, mutual respect, and compassion in all interactions with others.

· Takes initiative to propose constructive solutions to challenges.

· Recognizes and respects differences while actively seeking more effective communication approaches.

· Demonstrates a positive and professional response to changes and challenges.

· Nurtures positive working relationships and contributes to a collaborative work environment.

· Exhibits effective teamwork, working cohesively to support the organization in achieving its goals and objectives.

· Adapts smoothly to shifting workplace priorities.

· Attends and actively participates in scheduled meetings, whether weekly, bi-weekly, or monthly.

Education, Qualifications, and Experience:

· Billing or Coder Certification 

· 2+ years in medical billing experience, with at least 1 year in an FQHC multi-specialty environment, but preferably 2 years

· Well versed and able to learn a new EMR/EHR

· Strong knowledge of multi-specialty billing workflows

· Understanding of payer rules and denial management

· Ability to work independently in billing queues

· Strong analytical and problem-solving skills

· Effective communication skills

Work Schedule: 

· FTOC is an in-person organization first, and foremost. Employees are expected to be on-site for their scheduled shifts.

· Hours of operation are Monday to Friday 8 a.m. to 8 p.m., however, employee schedules vary, depending on organizational, staffing, community, and patient needs. As such, FTOC may need to modify work schedules to meet such needs.

· Holidays and weekends may be required depending on an employee’s department due to organizational, staffing, community, and patient needs as FTOC continues to grow and expand work days and hours. 

· Overtime may also occur due to organizational, staffing, community, and patient needs. 

Work Location: 

· While employees may be assigned a primary site (Tustin, Garden Grove, Fountain Valley, Wellness Center, Mobile Units, Golden Circle, Magnolia, Telehealth, etc.), employees may be required to temporarily fill in at another site based on organizational, staffing, community, and patient needs.

Travel Requirements:

· Occasional travel will be required. Employees must be able to travel to FTOC sites as needed, including with short notice.

Physical Demands and Working Conditions:

· The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. 

· While performing the duties of this job, the employee may be required to drive to FTOC facilities as needed. The ability to sit for extended periods of time, and the ability to occasionally lift and/or move up to 25 pounds.