WHO WE ARE

Farallon Medical Alliance (FMA) is a small, but dynamic management services organization providing support to three independent medical corporations comprised of 150+ medical providers. These corporations currently contract with hospitals within San Francisco, Novato, Santa Rosa, and Lakeport. FMA was created to streamline administrative time and overhead for the corporations that partnered to create it. The structure of FMA allows for the future addition of other medical groups into the partnership. Our employees are critical to our success and we value their contributions. FMA offers a competitive compensation and benefits package to our employees, as well as a unique opportunity to grow and develop your career in an environment that values employee ideas and diversity.

WHO YOU ARE

We are currently seeking an experienced and knowledgeable Medical Billing Associate to assist with day-to-day functions of our growing billing department.
This applicant will be responsible for assisting in centralized billing of all claims and coordinating to ensure maximization of cash flow while improving patient, physician, and other customer relations. Additional responsibilities include charge entry, payment posting, claim follow-up and maintaining payor accounts receivables.
Job Hours: 8am to 5pm Pacific Standard Time
Candidate must reside in the following States: California, Arizona, Texas, New York, South Carolina or Georgia

QUALIFICATIONS AND SKILLS

• Bachelor’s degree in Business Administration or Accounting preferred
• 2-5 years experience with medical insurance/healthcare billing and collections work in a health system or medical practice (Preferred)
• Knowledge and understanding of the revenue cycle, collections and payment posting, medical billing, Medicare and Medicaid, and third party payers
• Thorough knowledge and working experience of CPT and ICD9/10 codes, UB04 claim forms, HCFA 1500, HIPAA, medical terminology, appeal processes, billing and insurance regulations, and insurance benefits
• Strong knowledge of medical billing platforms, clearinghouses, and other related tools
• Possess current knowledge of technologies in the health information sector and their applications
• Strong interpersonal skills to be able to effectively relate with the public, patients, organizations, and other employees
• Competency in Microsoft Office/Google GSuite business applications
• Proven ability to establish and maintain effective working relationships with managers and peers
• Exceptional attention to detail and accuracy

This role will encompass, but may not be limited to the following for Farallon Medical Alliance and multiple supported medical groups:

• Continual follow up of denied, rejected or missing claims
• Monthly Verification and Review of Eligibility for different types of insurance
• Responding to patient phone calls and ensuring follow-up on voicemails and other communications.
• Daily maintenance, organization and follow up on insurance duties, responsibilities and documents
• Compilation of insurance documents
• Pull information from the system and enter the charges, make any adjustments, utilize internal databases, optimize the codes and submit the claim electronically or by paper
• Posting of payments
• Maintenance of time sensitive time tables such as prior authorizations
• Processing of patient refunds or credits
• Review and edit demographic information and other Pre-Billing functions
• Maintains current knowledge of hospitals’ billing systems and various payer contracts
• Corresponds with third-party payers, physician offices, and/or patients to obtain information
• Reviews credited accounts and processes insurance refunds
• Other projects as assigned by Manager/Supervisor.