Role Description
Responsible for maintaining the professional reimbursement program. Ensure compliance with current payments and rules that impact billing and collection.
Duties and Responsibilities
• The Medical Billing Coder performs billing and computer functions, including patient & third party billing, data entry and posting encounters.
• Follow-up of any outstanding A/R all-payers, self-pay, and the resolution of denials.
• Prepares and submits clean claims to various insurance companies either electronically or by paper.
• Answers questions from patients, FHCHC staff, and insurance companies.
• Identifies and resolves patient billing complaints.
• Prepares, reviews, and sends patient statements and manages correspondence.
• Handles all correspondence related to insurance or patient accounts, contacting insurance carriers, patients, and other facilities as needed to get the maximum payments and accounts and identify issues or changes to achieve client profitability.
• Takes calls from patients and insurance companies regarding billing and statement questions.
• Processes and posts all patient and/or insurance payments.
• Reviews clinical documentation and provides coding support to clinical staff as needed.
Qualifications
• High School diploma or GED with experience in medical billing is required.
• A certified professional coding certificate (CPC AAPC), knowledge of third party billing requirements, ICD and CPT codes, and billing practices are also required.
• Excellent interpersonal and communication skills and ability to work as a member of the team to serve the patients is essential.
• Must be detail-oriented and have the ability to work independently.
• Bi-lingual in English and Spanish highly preferred.
• FQHC/EPIC experience is desirable.
Requirements
• External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job-specific functions (listed within each job-specific responsibility) either unaided or with the assistance of a reasonable accommodation to be determined by the organization on a case-by-case basis.
Company Description
Fair Haven Community Health Care is an Equal Opportunity Employer. FHCHC does not discriminate on the basis of race, religion, color, sex, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need.
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