Women's Wellness Connection Biller

1 month ago

Fort Lupton, United States Salud Family Health Full time
Job DescriptionJob DescriptionCompany Description

Since 1970, Salud has been committed to providing a Medical Home to patients, where medical, dental, behavioral health services, and clinical pharmacists work together and coordinate efforts in a team-based system of care. We strive to improve the quality of our patient's lives who would otherwise have limited access to health care. We serve all individuals regardless of their insurance status or ability to pay.

Job Description

Women’s Wellness Connection (WWC) Program Biller

As a grantee of the Colorado Department of Public Health and Environment (CDPHE), Salud is able to offer the Women’s Wellness Connection (WWC) Program to eligible patients for cancer prevention and early detection. The WWC Part-Time Biller functions as a member of the Women’s Wellness Connection Program, approaches his/her tasks in a team-based fashion, and provides support to the WWC billing component of the WWC Program. 

We offer:

  • Starting Wage - $17.92 to $20.61 per hour
  • Part-Time 
  • Monday to Friday – 8 am to Noon, or 9 am to 1 pm 
  • 4 hours max per day - 20 hrs per week

Our Mission is to provide a quality, integrated healthcare home to the communities we serve

Specific Duties:

  • Receives and organizes invoices and UB 1500 Forms from sub-contractors (9 facilities, 3 radiology groups and 3 pathology groups)
  • Inputs all data from invoices and UB 1500 Forms into Excel
  • Verifies patient was eligible for WWC Program in Salud’s electronic medical record (EMR)
  • Confirm WWC vouchers issued to the level of service(s) approved
  • Verifies the receipt of the appropriate Diagnostic Imaging result in Salud’s EMR according to the CPT Code on the invoice and UB 1500 Form
  • Cross references all facility invoices with radiology and pathology group invoices
  • Verifies payments received from the CDPHE database for appropriate CPT Code invoiced
  • Completes adjudication of invoices/claims to their entirety
  • Submits all completed WWC billing invoices for each subcontractor to Salud’s accounting department for payments to the subcontractor
  • Research and contacts subcontractors who sent patients a bill that were eligible for WWC Program services
  • Works in conjunction with WWC Patient Navigators, Medical Providers, Medical Assistants, Enrollment Specialists, Customer Service Associates, and all other staff to ensure that patients obtain the highest standard of integrated healthcare
  • Acts as a patient advocate for our vulnerable populations by ensuring that patients are fully informed and comfortable with their visit to Salud 
  • Performs random audits of certain CPT Codes from the direction of the supervisor
  • Adheres to all standards, protocols, and laws surrounding patient confidentiality
  • Follows procedures for the electronic health records system
  • Performs other duties as assigned
Qualifications

Education: 

  • High school diploma or GED, required

Experience: 

  • Two years of billing and/or coding in health care and an intermediate skill set for Excel is required

Licensure:

  • None

Qualifications for Appointment:

  • Billing and Coding background required (certification not required)

Knowledge, Skills, and Abilities:

  • Able to relate well to co-workers and WWC-approved sub-contractor facilities and billing entities
  • Must be self-motivated, pro-active, and independent worker
  • Possess excellent organizational skills
  • Detailed oriented
  • Must work well with the WWC team members
  • Must work well with the patient care team
  • Fluency in English required

The application window is anticipated to close by 8/31/24



Additional Information

Salud Family Health is an Equal Opportunity Employer. We prohibit unlawful discrimination against applicants or employees on the basis of age 40 and over, race, color, religion, national origin, sex, disability, sexual orientation, gender identity, or any other applicable status protected by federal, state, or local laws.  All your information will be kept confidential according to EEO guidelines.

 

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