Billing Specialist

Job Summary

The Billing Specialist is responsible for submitting insurance claims, posting payments, and managing patient accounts to ensure accurate and timely reimbursement. This position works with patients, providers, and insurance companies to resolve billing issues, follow up on unpaid claims, and answer billing-related questions. The Billing Specialist maintains accurate records, provides excellent customer service, and ensures compliance with HIPAA and organizational policies.

Essential Functions

The functions performed by employees in this job family will vary by level or the area(s) to which assigned but may include (and not be limited to) the following. Employee must perform all duties and responsibilities in accordance with Via Care’s care standards.

• Prepares and submits clean claims to various insurance companies’ either electronically or by paper.

• Answers questions from patients, clerical staff, and insurance companies.

• Identifies and resolves patient billing complaints.

• Prepares, reviews, and sends patient statements.

• Evaluates patient’s financial status and establishes budget payment plans. Follows and reports status of delinquent accounts.

• Reviews accounts for possible assignment and makes recommendations to the Billing Supervisor, also prepares information for the collection agency.

• Performs daily backups on office computer system.

• Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers.

• Processes payments from insurance companies and prepares a daily deposit.

• Participates in educational activities and attends monthly staff meetings.

• Conducts self in accordance with HPA’s employee manual.

• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.

• Billing certificate required.

• High School Diploma or GED.

• Knowledge of medical billing/collection practices.

• Knowledge of computer programs.

• Knowledge of business office procedures.

• Knowledge of basic medical coding and third-party operating procedures and practices.

• Ability to operate a computer and basic office equipment.

• Ability to operate a multi-line telephone system.

• Skill in answering a telephone in a pleasant and helpful manner.

• Ability to read, understand and follow oral and written instructions.

• Ability to establish and maintain effective working relationships with patients, employees, and the public.

• Must be well organized and detail oriented.

Special Requirements

• Must have a reliable automobile for use on the job.

• Subject to a criminal background check prior to employment.

• Must possess valid California Driver License.

• Must have and maintain state-required automobile insurance coverage.

• TB clearance, to be renewed every year. Vaccines and boosters as needed.

Compliance with all mandated vaccinations and all boosters is a term and condition of employment.

Equal Opportunity Statement

Via Care Community Health Center provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Via Care Community Health Center complies with applicable state and local laws governing non-discrimination in employment in every location in which the organization has facilities. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. 

In compliance with California Labor Code § 432.3, as amended effective January 1, 2026, this job posting includes the pay scale for the position. The pay scale represents a good‑faith estimate of the salary or hourly wage range the employer reasonably expects to pay for the position upon hire. Actual compensation within the posted range will depend on experience, skills, and internal equity.