Career Listings

The Application Analyst reports directly to the Electronic Health Records (EHR) Application Manager. The Analyst preforms troubleshooting, maintenance, and optimizing of existing software applications and databases. They also develop, test and support new applications, interfaces between applications and databases.  The Analyst must attain in-depth knowledge of the applications and operational workflows.  The Analyst works with Database Administrators and other IT members to evaluate and recommend solutions to complex problems and requests.

This position will work under the supervision of the Billing Manager.  The Billing Specialist will be responsible for the completion of all tasks to ensure accurate, compliant and timely billing of patient charges for appropriate reimbursement from all sources, such as patients and all other third party payers.   Billing Specialists will interact with a multi-cultural population of diverse socioeconomic backgrounds, ages, and level of education.

The Billing Specialist is responsible for performing the following duties:

• Reviews charges, payments and adjustments to ensure accuracy and compliance with billing, coding and any contractual requirements
• Generates paper or electronic claims and submits them to all third party payers such as Medi-cal Medicare, private insurances and other programs
• Generates patient statements and collection letters
• Enters payments received from payers and patients in the practice management system
• Reviews claim rejection queue and resolves for resubmission
• Follows up on denied and unpaid claims; works closely with payersto provide any information necessary to receive payment
• Reviews and collects on overdue patient balances
• Answers questions from patients, staff and payers
• Reviews and processes requests for adjustments, corrections or refunds
• Prepares billing reports
• Collaborates and communicates with other team members to ensure efficiency of processes
• Maintains billing records
• Performs other duties as assigned including participation in all safety programs which may include assignment to an emergency response team.

Under the direction of the Claims Supervisor, the claims processor is responsible for receiving claims and processing adjudicating the claims in an expedient manner. Responsible for provider claims verification and adjudication. Responsible for meeting the performance measurement standards for productivity and accuracy cor the specifics claims. HCFA and UB.Ensure the privacy of security of PHI, as outlined in health plans and policies relating to HIPAA compliance.

The Claims Examiner is responsible for the following:

• Verifying and adjudicating provider claims in moderate complexity categories.
• Adjudicate all professional and outpatient facility claims including Coordination of Benefits, denials, and reduction in service notifications.
• Responsible for meeting or exceeding production and quality standards for specific types of claim forms, professional (HCFA) and/or institutional (UB).
• Route claims that cannot be finalized.
• Research, resolve, and respond to inquiries and problems of a moderately complex nature.
• Follow documented claims policies and procedures.
• Interface with other departments, when necessary, regarding claims issues.
• Participate in Claims Department staff meetings, and other activities as needed.
• Ensure the privacy and security of PHI (Protected Health Information) as outlined in health plans policies and procedures relating to HIPAA compliance.
• May be responsible for mentoring newer associates.
• Perform other duties as assigned including participation in all safety programs which may include assignment to an emergency response team.

Under the general supervision of the Outreach Coordinator, Health Center Manager, and oversight of the Director of Health Education and Prevention Programs, the Enrollment Specialist performs a variety of registration and financial screening functions with the objective of determining eligibility for medical care coverage under the terms of various private and public health care and financial services assistance programs. This position will be primarily entail evening and weekend work out in the community. The Enrollment Specialist is responsible for performing the following duties: • Researches and verifies patient eligibility for different programs and insurance coverage • Registers and interviews patients to obtain accurate and complete demographic and financial information. • Informs patients about the availability of governmental funded and discount programs. • Properly completes enrollment applications through electronic and manual systems. • Provides case management services for individuals and families on public and private health insurance programs. • Provides excellent customer service to patients, vendors and employees. • Must have reliable transportation to be used during working hours for off-site appointments and outreach activities.

Clinicas Del Camino Real, Inc. has been providing quality primary and preventative health care services to the residents of Ventura County since 1971. We have an exciting opportunity for a Health Center Manager (HCM) to join our team of professionals and direct the day-to-day operations. In this role, the HCM will report to the Operations Manager and will work collaboratively with the Management team and other staff to actively support and carry out Clinicas' mission. The HCM will interact with a multi-cultural population of diverse economic backgrounds, levels of education and ages. • The HCM hires, orients and trains staff • Provides instruction for functions unique to the health centers’ scope of services. • Identifies and analyzes operational issues, trends or progress in meeting performance measures and ensuring quality care. • Analyzes and monitors health center operations such as patient flow issues, reviewing appointment scheduling, bank deposits, daily charges, ordering supplies, etc. • Assures that all records (Clinical) are maintained to meet State Licensing Certification, HIPAA, Joint Commission and other State and National standards. • Reviews and monitors ICD-9 and CPT coding requirements. • Consults with Operations Managers, Medical Director, Clinical Leads and/or other management staff regarding clinical and operational issues. • Ensures maintenance, safety and cleanliness of the health center(s). • Supervises professional staff and consults with the Operations Manager and Medical Director regarding Provider performance. • Resolves and responds to complaints from patients and staff. • Evaluates staff based on performance standards and expectations. • Provides excellent customer service to patients, vendors and employees.

The Lead PSR provides front office clerical and administrative support to the Health Center’s medical, dental, optometry and mental health departments. The Lead PSR works under the supervision of and reports to the Health Center Manager. This person may be responsible for performing some or all of the following duties:• Works with Health Center Manager to analyze and monitor health center operations such as patient flow issues, reviewing appointment scheduling, bank deposits, and billing functions.• Follows and enforces health center policies and procedures.• Handles personnel issues and issues disciplinary action.

Functions and Responsibilities: • Performs technical supportive patient care services, utilizing training provided by a certified national or private Medical Assistant school. • Performs routine medical tasks and records information about the patient for the provider. • May assist the provider with patient procedures and may participate in basic administrative and clerical clinic tasks. • Floating to other Health Centers is a requirement.

The Patient Services Representative (PSR) works under the supervision of the Health Center Manager. The PSR is the first point of contact for our patients and some of the duties include: • Greeting patients upon arrival and assisting them through the registration process. • Receives payments. • Completes patient’s intake forms and determines eligibility for patients’ ability to pay or their qualification in assistance programs. • Schedules and confirms appointments and works closely with the back-office to ensure an efficient and pleasant visit for our patients.

Clinicas Del Camino Real, Inc. has been providing quality primary and preventative health care services to the residents of Ventura County since 1971. We have an exciting opportunity for a Referral Coordinator, to work in our Referrals department in Camarillo, CA. • The Referral Coordinator expedites the administrative requirements for patient referrals, ensuring that appropriate referrals are made to participating providers within the patient’s health plan. • Obtains appointments for Specialist visits and notifies patients of appointments. • Acts as a resource regarding referrals and insurance plan guidelines. • Interprets medical guidelines, benefits, policies and procedures in support of their objective to expedite the referral process.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES The Scanning Clerk will scan hard copy records to convert them into electronic files.  This individual will be responsible to file and save the electronic file in the appropriate location and perform quality checks of the newly saved documents.  The Scanning Clerk will perform other duties as assigned.