Medical Biller
Community Health Center of Snohomish County (CHC)
Date: 2 weeks ago
City: Everett, Washington
Contract type: Full time
Job Details
Description
Community Health Center of Snohomish County offers competitive wages and a comprehensive benefits package designed to address health, time off, retirement and career-advancement needs. Benefits available include health insurance (medical/dental/vision), up to 120 hours of vacation time pro-rated by FTE every 12 months, paid sick leave, 10-paid holidays, 403(b) Safe Harbor retirement plan with employer match, disability and life insurance, and more! We also offer $0.75/hour for those who test proficiently in a second language.
Job Summary
The Medical Biller is responsible for the day-to-day coding and billing operations for all services billable under grants, federal, state, and county programs including Medicare, Medicaid managed care and private insurances.
Knowledge, Skills & Abilities
Preferred:
Description
Community Health Center of Snohomish County offers competitive wages and a comprehensive benefits package designed to address health, time off, retirement and career-advancement needs. Benefits available include health insurance (medical/dental/vision), up to 120 hours of vacation time pro-rated by FTE every 12 months, paid sick leave, 10-paid holidays, 403(b) Safe Harbor retirement plan with employer match, disability and life insurance, and more! We also offer $0.75/hour for those who test proficiently in a second language.
Job Summary
The Medical Biller is responsible for the day-to-day coding and billing operations for all services billable under grants, federal, state, and county programs including Medicare, Medicaid managed care and private insurances.
Knowledge, Skills & Abilities
- Reads, speaks, understands and writes proficiently in English.
- Effectively communicates orally and in writing.
- Represents the organization in a professional and effective manner to the community.
- Remains calm and effective in high pressure and emergency situations.
- Works with initiative, energy and effectiveness in a fast-paced environment.
- Produces work in high quantity and quality.
- Problem-solves with creativity and ingenuity.
- Knowledge of medical terminology.
- Knowledge of HIPAA regulations and compliance.
- Proficiency in the use of Microsoft Office applications; Word, Excel and Outlook.
- Bilingual skills.
- High School graduate or equivalent
- Patient accounts Insurance denial follow up in health care (2 years)
- Claims submission to insurance companies electronically and via mail (2 years)
- Familiarity with federally qualified health centers or FQHC “look alikes.”
- Healthcare information systems, such as electronic health record, preferably NextGen
Preferred:
- Certified Professional Biller (CPB) certification through AAPC
- Resolves insurance claim rejections/denials and non-payment of claims by payors
- Identifies trends in billing and follow-up to expedite resolution of insurance accounts and identify delays in processing.
- Drafts appeals to insurance companies for reimbursement of monies owed.
- Maintains daily account and follow-up work lists within department while maintaining organization’s productivity standards.
- Ensures compliance and claims are processed in accordance with payer contracts and policies, as well as to settle claims as appropriate.
- Identifies, researches and resolves credit balances, missing payments, payer recoupments, and unposted cash as it pertains to billing account follow-up.
- Processes and maintains correspondence received from patients and insurance companies as it pertains to correct and timely billing of claims and receipt of payment.
- Handles submission of issues to Coding for review to ensure organizational and revenue cycle processes are followed.
- Communicates appropriately with insurance companies, patients, co-workers and supervisors.
- Adheres to attendance standards in order to perform the job functions for daily operations and/or continuity of patient care.
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