Job Details Job Location: Ketchum Health - Anaheim, CA Position Type: Part Time
Education Level: High School
Salary Range: $23.00 - $24.00 Hourly
Description Ketchum Health Medical Clinic is looking for a qualified and experienced Medical Biller to perform billing duties for services rendered by the clinic providers and medical staff. ESSENTIAL DUTIES AND RESPONSIBILITIES Verify patient insurance coverage, eligibility, and benefits to facilitate smooth billing processes. Ensure proper coding of medical procedures and services following current California coding guidelines and regulations. Submit accurate and timely medical claims to insurance carriers, ensuring compliance with California regulations and industry standards. Post payments and adjustments accurately, reconciling discrepancies and addressing any issues promptly. Generate patient statements, manage inquiries, and assist in resolving billing-related concerns in compliance with privacy and confidentiality laws. Investigate and appeal denied claims, working closely with insurance companies to resolve issues and maximize reimbursement. Function as the primary point of contact for all billing-related inquiries from patients. Train clinic staff on billing-related matters, staying updated on industry changes and communicating updates effectively. Deliver support, guidance, and clarification on billing procedures and protocols to clinic staff by answering questions regarding billing processes, codes, and reimbursement issues. Maintain organized and accurate records of billing activities, including patient information, claims, and payments. Uphold confidentiality and only access areas of the Electronic Medical Record system required for billing matters. Stay informed about changes in California's healthcare regulations, billing codes, and industry standards, ensuring the clinic's adherence to all applicable billing guidelines. QUALIFICATION REQUIREMENTSTo perform this job successfully, an individual must be able to perform each duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Minimum 2 years of direct experience and knowledge in medical billing within a clinic, hospital, health center, or insurance carrier. Preferably medical billing performed for Primary Care, Family Medicine, and/or Urgent Care. Thorough understanding of California's rules and regulations related to medical billing. Strong understanding of medical coding, including ICD-10, CPT, and HCPCS codes. Familiarity with medical terminology, anatomy, and pathophysiology. Excellent communication and interpersonal skills to interact with patients, medical insurance companies, and internal clinical staff effectively. Detail-oriented with a high level of accuracy in data entry and record-keeping. Proficient in using electronic health records (EHR) and billing software. Preferably Nextgen Office EHR and Waystar clearinghouse. Ability to work independently and collaboratively within a team environment. Any other duties related to medical billing as needed and/or requested by the clinic director or clinic staff. EDUCATION AND/OR EXPERIENCE Certified Professional Biller (CPB) Certification. Certified Family Practice Coder (CFPC) Certification is a plus. High school diploma or GED certificate. About the University SEE YOURSELF HERELocated on a beautiful, seven-acre campus in Fullerton, California, MBKU is an independent, private, non-profit, accredited educational institution. MBKU is home to the Southern California College of Optometry, the School of PA Studies and College of Pharmacy. MBKU owns and operates three health care centers at their clinical teaching facility, Ketchum Health, providing a vision center and PA medical clinic practice in Orange County and second vision center in Los Angeles.A TRADITION OF EXCELLENCE SINCE 1904In 1904, Marshall B. Ketchum, MD, opened the Los Angeles School of Ophthalmology and Optometry in Los Angeles. Dr. Ketchum was a visionary entrepreneur and prominent leader in the optometric profession. He made very significant and long-standing contributions in his field of care, in California and throughout the nation.In the early '70s the College moved to its current home in Fullerton, CA and was renamed Southern California College of Optometry. But even the pioneering Dr. Ketchum could not have envisioned his school would grow to become Marshall B. Ketchum University, an independent, private, non-profit, accredited educational institution encompassing multiple disciplines.BE AT THE FOREFRONT OF HEALTH CARE EDUCATIONMarshall B. Ketchum University offers career opportunities that will put you at the forefront of health care education. You will be provided with learning and advancement opportunities, as well as a culture that recognizes the importance of fun, employee appreciation and a work-life balance.Our mission is to educate caring, inspired health care professionals who are prepared to deliver collaborative, patient-centric health care in an interprofessional environment. By joining our family, you can help us reimagine the future and inspire future health care leaders.BENEFITSMBKU provides an excellent benefits package including medical, dental, and life insurance, free vision exams, short and long term disability, generous paid time off plans, a university-sponsored retirement plan. See our website under Employment for more details regarding benefits of working for MBKU ( is an equal opportunity employer; requirements are subject to possible modification to reasonably accommodate individuals with disabilities.'NON-DISCRIMINATION STATEMENTMBKU is committed to providing an environment in which all individuals are treated with respect and professionalism. In accordance with applicable federal and state laws, it is University policy to prevent the unlawful discrimination against students, applicants for admission, employees, applicants for employment and patients requesting treatment on the basis of race, color, national origin, sex, disability, age or any other characteristic protected by applicable law. The University also prohibits sexual harassment and harassment on any of the above bases (please refer to the Title IX page for more information).
