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Central Billing Representative

2 months ago

Albuquerque, New Mexico, United States First Choice Community Healthcare INC Full time
Job Title: Central Billing Representative I

First Choice Community Healthcare INC is seeking a highly skilled Central Billing Representative I to join our team. As a Central Billing Representative I, you will play a critical role in maintaining a high-performance work environment characterized by positive relationships and a strong orientation towards customer service and timely quality patient billing.

Key Responsibilities:
  • Review and process patient encounters for charge and payment accuracy, ensuring timely and accurate billing.
  • Monitor and review site unbilled encounters, providing education and support to minimize error reoccurrence and maximize reimbursement.
  • Meet all end-of-month closing activities and deadlines, ensuring accurate and timely financial reporting.
  • Coordinate electronic patient statements, post payments received, and reconcile system postings to lockbox and/or EOB totals.
  • Record NSF checks returned by bank and notify patients of adjusted balances due.
  • Review credit balance reports and prepare refund requests for overpayments.
  • Participate in billing Helpdesk customer support, responding to and documenting incoming account inquiries.
  • Review and resolve assigned outstanding accounts, identifying problems with various insurance payers and performing follow-up to affect collection of patient and insurance account balances.
  • Resolve unapplied cash, errors in cash reconciliation, and changes in payment allocation to insurance payer types.
  • Communicate payment terms and establish agreed-upon payment plans for overdue patient and insurance account balances, monitoring payment compliance.
  • Evaluate uncollectible patient and insurance accounts, making recommendations concerning account write-offs and/or placement as bad debt status.
Requirements:
  • High school degree or GED.
  • One to three years of data entry and billing and claims experience in a healthcare setting or FCCH billing externship.
  • Experience in a multispecialty clinic setting.
Preferred Qualifications:
  • Certified Coder (medical and/or dental).
  • Billing Certificate, the result of graduation from a certified billing school.
Knowledge, Skills, and Abilities:
  • General knowledge of computerized practice management systems, preferably Cerner PWPM Practice Management System, Cerner Electronic Health Record System, and Dentrix Dental billing and EHR.
  • Ability to learn billing and collection system within federally chartered community health centers (CHC) and RHI/UHI programs.
  • Ability to communicate with tact and diplomacy with diverse groups of people, including staff, providers, and insurance companies, on behalf of the organization.
  • Ability to work on a variety of assignments concurrently within established deadlines.
  • Ability to work with others in a problem-solving and team environment.

First Choice Community Healthcare INC is an equal opportunity employer and welcomes applications from diverse candidates. We offer a comprehensive benefits package, including medical, dental, and vision insurance, flexible spending account, employee assistance program, and retirement savings plan.