Centralized Billing Specialist - Full Time - In-Person or Remote
About The Position
This is the growth opportunity for you, if you: Have extensive customer service experience Possess a positive energetic attitude Are extremely organized and pay great attention to detail Possess excellent communication skills and able to multi-task with strong processing skills in our fast paced environment Have a strong interest in health policy/public health Are able to work effectively as a member of a team As a Centralized Billing Specialist at Community Health Center, Inc., you will: Perform all aspects of billing Medical, Dental, and Behavioral Health claims Responsible for entering codes and reconciling charges in a timely and accurate manner Retain the required billing process for each discipline Perform necessary rebilling or adjusting on accounts Organize work load to achieve a high level of productivity Cross train within the department to provide coverage when necessary Verify commercial insurance eligibility for an assigned site daily Keep management informed of matters regarding charge entry Review data, such as history and extent of disease, diagnostic procedures and treatment for completeness, accuracy and compliance with regulations Maintain and respect the confidentiality of PHI (Protected Health Information) in accordance with insurance collection guidelines, corporate policy and all HIPAA (Health Insurance Portability and Accountability Act) mandates. Candidate will have access to PHI based on the HIPAA minimum necessary standards Adhere to all corporate compliance mandates and guidelines Follow internal protocols regarding departmental communications Participate in proactive team efforts to achieve departmental and company goals Communicate daily with our providers, site operations and billing team so excellent verbal and written communication as well as strong organizational abilities are required. Identify, compile and code patient data, using ICD-10 and CPT and other standard classification coding systems Performs necessary rebilling or adjusting on accounts Cross trains within department to provide coverage when necessary Assists with special projects as needed Other duties as assigned by Management
Requirements
- At least 2 year experience in healthcare billing and coding
- AAPC / AHIMA certified; Certified Professional Coder (CPC) or Certified Outpatient Coding (COC); or a diploma in medical billing.
- Proficient in Microsoft Excel, Word, Access and electronic e-mail systems.
- In-depth knowledge of CPT and ICD-10 codes, Medicare and Medicaid billing rules, insurance reimbursement methods, the claims appeal process.
- Excellent communication skills and able to multi-task with strong processing skills in our fast paced environment
- Strong interest in health policy/public health
- Able to work effectively as a member of a team
- Extensive customer service experience
- Extremely organized and pay great attention to detail
Nice To Haves
- Associates degree in Health Information Management Systems, Business, or a related field
- Have AAPC / AHIMA certification; Certified Professional Coder (CPC) or Certified Outpatient Coding (COC)
Responsibilities
- Perform all aspects of billing Medical, Dental, and Behavioral Health claims
- Responsible for entering codes and reconciling charges in a timely and accurate manner
- Retain the required billing process for each discipline
- Perform necessary rebilling or adjusting on accounts
- Organize work load to achieve a high level of productivity
- Cross train within the department to provide coverage when necessary
- Verify commercial insurance eligibility for an assigned site daily
- Keep management informed of matters regarding charge entry
- Review data, such as history and extent of disease, diagnostic procedures and treatment for completeness, accuracy and compliance with regulations
- Maintain and respect the confidentiality of PHI (Protected Health Information) in accordance with insurance collection guidelines, corporate policy and all HIPAA (Health Insurance Portability and Accountability Act) mandates.
- Adhere to all corporate compliance mandates and guidelines
- Follow internal protocols regarding departmental communications
- Participate in proactive team efforts to achieve departmental and company goals
- Identify, compile and code patient data, using ICD-10 and CPT and other standard classification coding systems
- Performs necessary rebilling or adjusting on accounts
- Cross trains within department to provide coverage when necessary
- Assists with special projects as needed
- Other duties as assigned by Management
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
