Honor Community Health

  • Pontiac, MI
  • Permanent
  • Full-time
Honor Community Health is a 501 c Federally Qualified Health. Our objective is to offer the health and health requirements of the underserved of Oakland County through the arrangement of extensive, integrated main, behavioral health, and oral care. We see all populations despite their capability to pay. Honor Community Health is a quickly growing company co-located within 20 areas. Our group is enthusiastic about serving the individuals of Oakland County. NOTE: All workers are needed to get the COVID-19 Vaccine.

Position Description

The full-time, non-exempt Billing Specialist I is a vital member of a high carrying out health care group supplying workplace and billing assistance by examining claims prior to submission, fixing any mistakes kept in mind in the evaluation & supplying personnel education as suitable to prevent repeating mistakes, offering front personnel protection assistance and tracking exceptional concerns and follow up for resolution. The Billing Specialist I will be help with examining unsettled or rejected billing claims, working to make essential corrections and resubmitting the claims. In addition, the Billing Specialist I will support the clinicians and website personnel, addressing concerns, determining and starting training assistance as required associated to coding, billing, insurance coverage and NextGen PM. Billing Specialist I will serve as assistance to designated website by completing at the front desk when a moderate personnel lack occurs. Even More, Billing Specialist I will help Trainer, Clinical Office Operations and Billing Specialist II in recognizing and performing front workplace operations training requirements, consisting of, however not restricted to client registration, moving charge application procedure, empanelment and insurance coverage confirmation, insurance coverage recommendations, prior permissions and check-in and check-out treatments. Functions collaboratively to develop and keep a culture of quality and devotion to supplying caring and high quality healthcare to homeowners and the neighborhood.

This position reports to the Revenue Cycle Manager. Our basic hours are Monday- Friday, 8: 30 am-5: 00 pm.

Responsibilities: Proficiently carries out all elements of profits cycle management in a prompt way, consisting of, however not restricted to declare evaluation and submission, front-end procedure auditing, encounter hint tidy up, tending to pending everyday projects, effective payment publishing, payer particular requirements, everyday batch tidy up and rejection resolution.

  • Read and react within 14 company hours all e-mails or other memos of billing/coding concerns. React to voicemail messages within 14 organization hours.
  • Attend all trainings, billing group and all personnel conferences as asked for.
  • Review and comprehend payer prompt filing limitations to make sure timely claim submission and follow up.
  • Research and comprehend distinct billing difficulties by specialized (i.e. OB, Podiatry, Behavioral Health, Dental, and so on) as it connects to designated practice websites.
  • Perform regular monthly A/R reports for designated practice websites, fixes all immaterial problems and intensifies problems as suitable.
  • Identify patterns in rejections or overdue claims, inform manager and helps to train personnel as required.
  • Assists with training personnel as designated on front workplace operations, consisting of, however not restricted to client registration, empanelment and insurance coverage confirmation, insurance coverage recommendations, prior permissions and check-in and check-out treatments.
  • Proficient in FQHC particular earnings cycle management.
  • Provide front desk assistance protection as appointed.
  • Manage billing externs and short-lived hires appointed.
  • Keep present on all payer and regulative modifications.

What are we searching for?

  • High school diploma or equivalent is needed.
  • Medical Insurance Billing Certificate or Associate Degree in associated field chosen.
  • Certified Procedural Coder (CPC) chosen.
  • Understanding of CPT and ICD-9/10 needed.
  • Prior medical front workplace experience needed.
  • Knowledge of health insurance policy and treatment handbooks chosen.
  • A minimum 2 years expert billing experience needed.
  • Experience operating in a health care environment and experience with Federally Qualified Health Centers is extremely wanted.
  • A versatile and favorable mindset
  • Ability to operate in a busy environment
  • Creating an exceptional client experience
  • Patient focused state of mind

What do we provide?

  • 401 K
  • Medical, Dental and Vision
  • National Health Service Corp
  • Public Loan Forgiveness
  • Learning and development chances
  • Supportive environment

COVID-19 Precautions:

  • Remote Prescreening Interview Process
  • Person protective devices offered or needed
  • Temperature screenings
  • Sanitizing, sanitizing, or cleansing treatments in location

How to use

Applicants need to finish the complete application through our profession page at

Please keep in mind the picked prospect will be needed to send to a rap sheet check and recommendation check.

Our Commitment to Diversity, Equity and Inclusion

The variety of our individuals and clients is among our biggest strengths, and inclusive office allows us to welcome that variety to provide the very best services to our worker and clients. Honor Community Health is an Equal Opportunity Employer. This business does not and will not discriminate in work and workers practices on the basis of race, sex, age, handicap, faith, nationwide origin or any other basis restricted by relevant law. Hiring, moving and promo practices are carried out without regard to the above noted products.

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Honor Community Health