Billing Clerk at Family HealthCare Network in Visalia, CA

Billing Clerk

Location: Visalia, CA, United States

Primary Accountability

The Billing Clerk performs a major part of the revenue cycle process. Responsible for processing claims, posting payments, researching claim rejections and denials, and working delinquent insurance and patient accounts.

Description of Primary Responsibilities

1. Performs the billing function at FHCN.
   1. Prepares and submits primary and secondary claims for services rendered according to established policies and procedures.
   2. Reviews claim forms for completion of patient information, CPT and ICD codes, and provider information.
   3. Computes fees and collects payments for services rendered.
   4. Collects and posts payments to accounts receivable system.
   5. Follows-up on correspondence from and researches outstanding aging accounts for third party payers.
   6. Corrects and rebills third party medical or dental claim denials and rejected claims.
   7. Performs income eligibility analysis for patients for different programs if necessary.
   8. Researches and corrects any assigned claim statuses in the practice management system.
   9. Processes any necessary patient refunds according to FHCN policy.
   10. Creates and reviews monthly patient statements.
   11. Answers any patient billing inquiries by researching the requests.
2. Tracks and processes delinquent patient accounts.
   1. Mails payment request and collection letters.
   2. Processes accounts forwarded to the collection agency and reports collection payments.
   3. Manages the collection accounts system.
3. Responsible for adhering to the Attendance and Absenteeism Policy, recognizing that regular attendance is considered an essential function of all FHCN positions. Absenteeism is not being at work or failing to attend a paid workshop, training, or event unless the absence is protected by law.
4. Ability to present to and work at any FHCN location, both at the beginning of a shift or during a shift, based on business need.
5. Performs other duties as assigned.

Description of Primary Attributes

Professional & Technical Knowledge:

Effective June 1, 2026, all individuals hired into the role must:

1. Must have proof of completion of high school with a minimum overall GPA of 2.5 or completion of General Educational Development (GED) with a minimum overall score of 162.5.
   1. If an individual has completed a degree at a higher level than required by the role and had a stronger GPA in that program, they may provide proof of GPA from that degree in lieu of the high school diploma.
2. Have a minimum of two years of experience, knowledge, and training in finance and billing or completion of a certificate or license program in billing procedures and successful completion of an externship with Family HealthCare Network.

Technical Skills:

1. Ability to prepare basic correspondence and simple reports in Microsoft Word.
2. Ability to use Microsoft Excel to create tables and simple displays of information.
3. Ability to create basic presentations in Microsoft PowerPoint.

Licenses & Certifications: None required.

Communications Skills:

1. Job duties require the employee to effectively communicate routine or non-technical information to co-workers and others.
2. Effectively communicates written information (including electronic correspondence) and verbal presentations.

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

While performing the duties of this position, the employee is regularly required to sit and use repetitive hand movement to type and grasp. The employee is frequently required to stand and walk; and occasionally lift and/or move up to 20 pounds.

Pay Scale:

Min Hourly Rate: $25.00

Max Hourly Rate: $30.00