Job Details

Why consider this job opportunity:

• This position is available for remote work, offering flexibility in your work environment.
• Opportunity for career advancement and growth within the organization.
• Engage with a dynamic team in a federally qualified health center recognized for quality healthcare.
• Participate in special projects that contribute to innovative healthcare solutions.
• Supportive and collaborative work environment with a focus on improving health outcomes.

What to Expect (Job Responsibilities):

• Coordinate and perform all aspects of accounts receivable collection and reprocessing of claims.
• Audit and resolve accounts with credit balances and outstanding balances.
• Post payments and adjustments, ensuring compliance with established fee schedules.
• Respond to patient inquiries regarding the process of services and assist with incoming Patient Accounts calls.
• Collaborate with Office Managers regarding the quality of data obtained by office staff and healthcare providers.

What is Required (Qualifications):

• Associates degree in Health Information Management Systems (or related field) with 1+ years of experience in a healthcare billing and collections office, or Coding Certification/Billing Certificate Program (AAPCs CPC or AHIMAs CCA) with 2 years of experience in a healthcare billing and collections office.
• In-depth knowledge of CPT and ICD-10 Codes, Medicare and Medicaid billing rules, and insurance reimbursement methods.
• Familiarity with the claims appeal process and understanding of managed care contracts and capitation payments.

>Proficient in Microsoft Excel, Word, Access, and Outlook.

How to Stand Out (Preferred Qualifications):

• Previous experience in a healthcare billing and collections office.
• Strong analytical skills and attention to detail.
• Ability to work collaboratively within a team environment.
• Excellent communication skills to address patient inquiries effectively.

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