Centralized Billing Specialist - Full Time - In-Person or Remote

About the role

This is a growth opportunity for someone with extensive customer service experience, a positive and energetic attitude, excellent communication skills, and strong organizational and processing abilities. The role involves working in a fast-paced environment, particularly in the areas of health policy and public health.

Responsibilities

• Perform all aspects of billing for medical, dental, and behavioral health claims.
• Enter codes and reconcile charges in a timely and accurate manner.
• Retain the required billing process for each discipline.
• Perform necessary rebilling or adjusting on accounts.
• Organize work load to achieve a high level of productivity.
• Cross train within the department to provide coverage when necessary.
• Verify commercial insurance eligibility for an assigned site daily.
• Keep management informed of matters regarding charge entry.
• Review data, such as history and extent of disease, diagnostic procedures and treatment for completeness, accuracy, and compliance with regulations.
• Maintain and respect the confidentiality of PHI (Protected Health Information) in accordance with insurance collection guidelines, corporate policy, and all HIPAA (Health Insurance Portability and Accountability Act) mandates.
• Identify, compile, and code patient data, using ICD-10 and CPT and other standard classification coding systems.
• Assist with special projects as needed.

Requirements

• At least 2 years of experience in healthcare billing and coding.
• AAPC / AHIMA certified; Certified Professional Coder (CPC) or Certified Outpatient Coding (COC); or a diploma in medical billing.
• Proficient in Microsoft Excel, Word, Access, and electronic email systems.
• In-depth knowledge of CPT and ICD-10 codes, Medicare and Medicaid billing rules, insurance reimbursement methods, and the claims appeal process.

Preferred Qualifications

• Associates degree in Health Information Management Systems, Business, or a related field.
• AAPC / AHIMA certification; Certified Professional Coder (CPC) or Certified Outpatient Coding (COC).

Physical Requirements/Work Environment

Minimal physical effort. Works primarily on computer and phone.

Location

Remote or In-Person
Middletown ION Building - Finance & Patient Accounts

Organization Information

Community Health Center, Inc. (CHC) is a leading provider of primary medical, dental, and behavioral health services, and a leader in practice-based research, health professionals training, and use of innovative technologies to advance health and healthcare. CHC is designated as a federally qualified health center and a patient-centered medical home by HRSA, the Joint Commission, and NCQA, respectively. The organization has developed three wholly owned subsidiaries from the original pilot developments within the Weitzman Institute: the National Nurse Practitioner Residency and Fellowship Training Consortium (NNPRFTC), the National Institute for Medical Assistant Advancement (NIMAA), and the ConferMED Network.