Billing & Collections Specialist

Aria Community Health Center•Lemoore, CA

1d•$22 - $23•Onsite

About The Position

ACHC is a Federally Qualified Health Center and licensed primary care clinic. We provide medical and dental care, with additional specialists in Chiropractic, Internal Medicine, Neurology, Pediatrics, Psychology, Podiatry and Optometry. ACHC Clinics are located across Fresno, Kings and Tulare counties. SUMMARY Performs billing, follow-up and collection procedures, including review and clarification of patient accounts against program provisions (e.g., Medicare, Medi-Cal, Blue Cross, etc.). Resolves routine patient billing inquiries and problems. Oversees the Admission and Discharge clerical functions, and covers those areas as needed. Must have strong working knowledge of computer systems.

Requirements

Detail oriented
Strong problem solving skills
Working knowledge of ICD-10, CPT, and HCPCS
High school or equivalent
1 to 2 years of experience

Nice To Haves

Working knowledge of NextGen EHR is desirable
Certified in Medical Assisting or Billing is preferred

Responsibilities

Following prescribed procedures, bills insurance carriers for appropriate payments after performing the necessary verification of patient accounts and insurance data for completeness and accuracy as dictated by carrier procedures and provisions (e.g. Medicare, Medi-Cal, Blue Cross, etc.).
Audits charges received from clinic sites.
Interprets insurance program procedures and provisions in solution of routine patient billing inquiries and problems.
Performs follow-up on balances due from carriers.
Follow up on pending/denied claims, correcting and rebilling claims, posting payments and working aging.
Following prescribed procedures, may record patient identification data and physician diagnosis, etc.
Will record all payments and adjustments to computer systems and reconcile input as appropriate.
Will update and maintain billing and provider manuals in a timely fashion.
Will inventory supplies and anticipate needed supply items.
Performs other routines and duties as requested.