Option Community Health Centers.

  • Lillington, NC


  • Long-term.

  • Full-time.

SUMMARY: Responsible for billing and collections for Medicare, Medicaid, Insurance, and Self-Pay clients for all FQHC Medical and Dental centers. Monitor Billing Specialists and/or carry out the client account billing procedure to guarantee that all appointed jobs are finished prompt and properly. Monitor Patient Service/Call Center Representatives. Regularly satisfy recognized performance, schedule adherence and quality requirements; proactively looks for to additional establish billing procedure proficiencies; and help in application of procedure enhancements.

ESSENTIAL DUTIES AND RESPONSIBILITIES consist of the following. Other responsibilities might be designated. Post all money invoices and insurance coverage payments to EHS software application;

  • Ensure department’s and clients’ requirements are satisfied. Fix regular and complicated concerns & issues;-LRB-
  • Track open charges and deal with suppliers to total order entries;-LRB-
  • Review charges from everyday batches and preserve month-to-month Deposit Journal, as required;-LRB-
  • Assist Finance with fixing up EHS End of Day reports to Deposit Journal, as required;-LRB-
  • Report got payments to Accounting Manager for all services to be compensated to Physicians;-LRB-
  • Maintain precise ICD-9, ICD-10, CPT and HCPCS codes within the EHS software application;-LRB-
  • Research all credit Accounts Receivable balances and carry out needed follow up to deal with credit balance;-LRB-
  • Assist CFO in conclusion of all yearly expense reports, yearly monetary audit, yearly UDS report, and any other necessary yearly governmental reporting;-LRB-
  • Answer onsite concerns for self-/ sliding-pay clients and supplier client customer support;-LRB-
  • Perform routine audit of front desk personnels’ efficiency to examine precision, quality and amount of needed task tasks;-LRB-
  • Assist outsourced billing business in acquiring files required to finish credentialing and getting supplier signatures;-LRB-
  • Provides billing info by gathering, evaluating, and summing up third-party billings, accounts pending, and late charges information and patterns.

QUALIFICATION REQUIREMENTS: To perform this task effectively, a specific need to have the ability to carry out each necessary task sufficiently. The requirements noted below are representative of the understanding, ability, and/or capability needed. Sensible lodgings might be made to make it possible for people with specials needs to carry out the important functions. Particularly looking for FQHC experience.

EDUCATION and/or EXPERIENCE: High School diploma needed. Associates Degree in Medical Billing and Coding chosen– or a mix of education and experience. Minimum of 5 years progressive billing experience needed, consisting of supervisory tasks.

LANGUAGE SKILLS: Ability to check out and translate files such as security guidelines, running and upkeep guidelines, and treatment handbooks. Capability to compose regular reports and correspondence.

MATHEMATICAL SKILLS: Ability to use standard ideas of mathematics and calculations.

REASONING ABILITY: Ability to fix useful issues and handle a range of concrete variables in circumstances where just restricted standardization exists. Capability to translate a range of directions provided in composed, oral, diagram, or schedule kind.

COMPETENCY/SKILLS REQUIREMENTS: Competency needed in the locations of interaction, outstanding spoken and written abilities. Usage of computer system abilities to consist of Microsoft Word and Excel.

CERTIFICATES, LICENSES, REGISTRATIONS: None

OTHER SKILLS AND ABILITIES: Familiarity with reliable usage of digital accounting/billing systems. Need to have the ability to utilize other devices such as a fax, photo copier and calculator. Excellent organizational abilities and the capability to carry out many jobs at the same time in a hectic workplace environment. Great analytical abilities, sticker label for information, sense of individual obligation for work efficiency and an expert mindset. The capability to work without continuous guidance and comply with policies and treatments is a must.

PHYSICAL/MENTAL DEMANDS: The physical/mental needs explained here are representative of those that need to be satisfied by a worker to effectively carry out the important functions of this task. Affordable lodgings might be made to make it possible for people with special needs to carry out the vital functions.

While carrying out the tasks of this task, the staff member is routinely needed to talk or hear, sit, and utilize hands to finger, manage, or feel things, tools, or controls. The staff member is sometimes needed to stand, stroll, climb up, stabilize on 2 feet, stoop, kneel, crouch, or reach with hands and arms. The worker should periodically raise and/or go up to 10 pounds. Particular vision capabilities needed by this task consist of close vision, range vision, color vision, peripheral vision, depth understanding, and the capability to change focus.

Mental needs consist of the capability to discover, adjust to modifications, pay attention to information, workout discretion and profundity, establish choices and options to crisis and issues, collect and examine truths, considerate and expert habits, handle difficult scenarios and abide by business policies and treatments.

WORK ENVIRONMENT: The workplace qualities explained here are representative of those a worker encounters while carrying out the important functions of this task. Sensible lodgings might be made to allow people with specials needs to carry out the important functions. The sound level in the workplace is typically moderate.

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Option Community Health Centers.