Responsible to: Chief Operating Officer
Position Description- Manage billing processes, manages the claims process, including accurate and timely claim creation, follow-up and correspondence with providers, insurance inquiries/correspondence. Assist in the clarification and development of process improvements and inquiries, assure payments related to patient services from all sources are recorded and reconciled timely to maximize revenues. Other important duties include credentialing, enrollment processing, and reporting.
Job Requirements: Knowledge of medical billing / collection practices required.
• Strong keyboard skills. • Works well in environment with firm deadlines; results oriented. • Perform multiple tasks effectively. • Able to work both independently and as part of a team. • Strong analytical skills required. • Capable of making timely, independent decisions.
Education: Previous medical billing experience including knowledge of billing related reporting; 3 - 5 years’ experience in health-care billing & collection practices, preferably with an FQHC, • Experience working with medical payers including Medicare, Medicaid, and commercial insurance, • Working knowledge of medical billing systems, particularly eClinicalWorks, • Experience with Medicaid’s State Eligibility System, • Working knowledge of CPT and ICD-9 & ICD-10 coding systems; Coding certification preferred, • An Associate Degree from an accredited university with credentials in billing / coding preferred, • Excellent organizational skills, and • Proficiency in Microsoft Office Suite
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