Job Description

Location: 100 Bullocks Point Avenue

Department: Finance/Billing

Position Type: Non-Exempt, Grade 08

About the Role

East Bay Community Action Program is seeking a detail-oriented Billing Specialist to join our Finance/Billing team. Under the supervision of the Billing Manager, you'll play a crucial role in ensuring timely claim submissions and payment processing for our medical, behavioral health, and dental services.

What You'll Do

• Claims Management : Prepare, review, and submit claims using billing software (primarily electronic processing)
• Insurance Coordination : Obtain referrals, pre-authorizations, and verify eligibility and benefits for requested services
• Payment Monitoring : Follow up on unpaid claims, review Explanation of Benefits (EOB), and verify insurance payments for accuracy
• Problem Resolution : Research and appeal denied claims, resolve payment discrepancies, and respond to patient and insurance inquiries
• Compliance : Ensure all billing practices follow managed care contracts, licensing requirements, and State/Federal regulations
• Documentation : Maintain organized records of all billing and collection transactions

What We're Looking For

Required Qualifications

• High school diploma or equivalent
• 2-4 years of medical billing experience
• Medical billing certification or equivalent
• Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint, Outlook)
• Knowledge of CPT and ICD-10 coding, HCFA 1500, and UB-04
• Understanding of billing rules, regulations, and medical terminology
• Working knowledge of billing software and electronic medical records

Preferred Qualifications

• Certified coder certification is a plus

Skills & Abilities

• Strong customer service skills for patient and insurance company interactions
• Excellent problem-solving abilities to research and resolve discrepancies, denials, and appeals
• Ability to multitask, prioritize, and manage time efficiently
• Team-oriented with ability to triage priorities and handle conflict professionally
• Strong analytical skills to strategize solutions

Physical Requirements

This is primarily an administrative role requiring the ability to:

• Operate computer and office equipment
• Lift up to 25 pounds using proper techniques
• Remain stationary approximately 50% of the time
• Bend, reach, file, sit, stand, and move around the facility
• Communicate effectively with clients, staff, and external representatives

Why Join Us?

Be part of a mission-driven organization that provides essential healthcare services to the community. Work in a collaborative environment where your attention to detail and problem-solving skills make a real difference in ensuring patients receive the care they need.

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