Billing Navigator

Jordan Valley Health•Springfield, MO

14d

About The Position

The Billing Navigator is responsible for providing a thorough and accurate collection of patient accounts. To provide support for the Community Health Workers (CHWs) as needed in the attainment of stated goals. This contributes to the financial stability of healthcare facilities, allowing them to continue providing quality care to patients.

Requirements

Two years’ medical office reimbursement experience

Nice To Haves

High school diploma or GED preferred
Some math, accounting, ICD-10, and an understanding of patient care skills preferred.

Responsibilities

Assesses, tracks, and collects patient account balances.
Assist in verifying eligibility for billing purposes.
Performs insurance and billing functions including verifying patient account information to insurance program specifications.
Follow-up on balances due from Payers
Ability to understand ICD-9, ICD-10 and CPT coding.
Electronic billing function, process charges, payments denials and adjustments.
Performs insurance denial resolution.
Works closely with the Community Health Worker (CHW) team to assure accurate and timely billing for Presumptive Medicaid, Newborn pending and Temporary Medicaid for Pregnant Women.
Attains all agreed goals and objectives within specified time frames, as part of the Clinic’s overall mission.
Responsibly follows the Clinic Exposure Control Plans/Bloodborne and Airborne Pathogens.
Demonstrates respect and regard for the dignity of all patients, families, visitors and fellow employees to ensure a professional, responsible and courteous environment.
All other duties as assigned.

Benefits

Medical and Prescription Drug Coverage: Three comprehensive plan options (Buy-up, Base, and High Deductible) through UnitedHealthcare's Choice Plus network, covering various deductibles and out-of-pocket limits. Includes access to telemedicine services via Teladoc.
Health Savings Account (HSA): Available for employees in the High Deductible Plan with employer contributions and tax advantages.
Flexible Spending Account (FSA): Options for both healthcare and dependent care FSAs, allowing pre-tax contributions for qualified expenses.
Dental and Vision Coverage: Dental insurance through Cigna’s DPPO network and vision coverage through EyeMed’s Insight network.
Retirement Plan: Pre-tax and Roth 403(b) retirement plans with a 5% employer match starting after 30 days of employment.
Life and Disability Insurance: Basic Life and AD&D insurance provided at no cost, with the option to purchase additional coverage. Long-term and short-term disability insurance are also available.
Employee Assistance Program (EAP): Free confidential support for personal and professional challenges, including counseling and crisis intervention.
Additional Voluntary Benefits: Options for critical illness, accident, hospital care, and pet insurance through MetLife.
Pay on Demand Available
Nine paid holidays per year.