Billing Specialist

Cornerstone Care•McKees Rocks, PA

13d•Hybrid

About The Position

Cornerstone Care, a Federally Qualified Health Center (FQHC), with locations throughout Southwestern Pa., is seeking Billing Specialists to join their growing team. This role is responsible for preparing and submitting claims to appropriate insurances, working outstanding and rejected claims, corresponding with patients, reviewing and analyzing accounts receivable balances, and other duties as assigned to support the Billing Department. Cornerstone Care's mission is to improve the health of their patients and the residents of their community, with special concern for the underserved. They are described as the best family care center across Southwestern PA and Northern WV for affordable healthcare.

Requirements

High School education
Billing experience

Nice To Haves

Some onsite work may be required, even though it is a remote role.

Responsibilities

Prepares and submits claims to insurance companies ensuring accuracy and completeness.
Reviews, analyzes, and follows up on unpaid claims to collect accounts receivable timely.
Reviews documentation in the patient’s medical record to identify diagnosis, procedures, and other necessary information to complete billing the encounter.
Handles patient phone calls, takes patient payments, sets up payment plans, reviews and researches patient accounts for purposes of identifying billing trends and maintaining a clean AR aging.
Educates and assists patients with the completion and submission of sliding fee discount program (SFDP) applications.
Reviews and recommends for approval SFDP applications and assists with the renewal applications.
Identifies and populates account demographics.
Attends staff meetings as requested by the Director.
Assists in other areas as needed within Billing Department.