Medical Biller

Opportunity.OpportunityDetail.JobDetails

Opportunity.OpportunityDetail.Description

Community Health Center of Snohomish County offers competitive wages and a comprehensive benefits package designed to address health, time off, retirement and career-advancement needs.  Benefits available include health insurance (medical/dental/vision), up to 120 hours of vacation time pro-rated by FTE every 12 months, paid sick leave, 10-paid holidays, 403(b) Safe Harbor retirement plan with employer match, disability and life insurance, and more! We also offer $0.75/hour for those who test proficiently in a second language.

Job Summary

The Medical Biller is responsible for the day-to-day coding and billing operations for all services billable under grants, federal, state, and county programs including Medicare, Medicaid managed care and private insurances. This person must have prior dental billing experience and be familiar with Government and Commercial Insurance plans.

Knowledge, Skills and Abilities

• Reads, speaks, understands and writes proficiently in English.
• Effectively communicates orally and in writing.
• Represents the organization in a professional and effective manner to the community.
• Remains calm and effective in high pressure and emergency situations.
• Works with initiative, energy and effectiveness in a fast-paced environment.
• Produces work in high quantity and quality.
• Problem-solves with creativity and ingenuity.
• Knowledge of medical terminology.
• Knowledge of HIPAA regulations and compliance.
• Ability to make decisions regarding sensitive information.
• Proficiency in the use of Microsoft Office applications; Word, Excel and Outlook.

Preferred:

• Bilingual skills.

Education

• High School graduate or equivalent

Experience

• Working in healthcare doing production coder (2 years)
• Comprehensive knowledge and understanding of medical coding (2 years)

Preferred

• Familiarity with Federally Qualified Health Centers.
• Working in a not-for-profit organization.
• Working with low income, multi-ethnic populations.
• Working With Nextgen.

Credentials

Preferred:

• Certified Professional Coder (CPC) by the American Academy of Professional Coders (AAPC) or Coding Specialist (CCS) by the American Academy of Professional Coders (AAPC).

Other

• Driver's license with the State of Washington.
• Motor vehicle insurance liability policy, a certificate of deposit, or a liability bond to the required limits.

Job Specific Functions/Performance:

1. Resolves insurance claim rejections/denials, and non-payment of claims by payors
2. Identifies trends in billing and follow-up, in order to expedite resolution of insurance accounts and identify delays in processing.
3. Drafts appeals to insurance companies for reimbursement of monies owed.
4. Maintains daily account, follow-up work lists within department while maintaining organization’s productivity standards.
5. Ensures compliance and claims processed in accordance with payer contracts and policies, as well as to settle claims as appropriate.
6. Identifies, research and resolves: credit balances, missing payments, payer recoupments, and unposted cash as it pertains to billing account follow-up
7. Processes and maintain correspondence received from patients and insurance companies as it pertains to correct and timely billing of claims, and receipt of payment.
8. Handles submission of issues to coding for review to ensure organizational and revenue cycle processes are followed.
9. Communicates appropriately with insurance companies, patients, co-workers and supervisors.
10. Adheres to attendance standards in order to perform the job functions for daily operations and/or continuity of patient care.
    

CHC is an Equal Employment Opportunity/Affirmative Action Employer (EEO/AA)/At-will employer.

Opportunity.OpportunityDetail.Qualifications

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)