Patient Accounts Billing Representative

About the role

Greater Lawrence Family Health Center, Inc. (GLFHC) is a multi-site, mission-driven, non-profit organization that provides high-quality patient care to a culturally diverse population in the Merrimack Valley. GLFHC is seeking a Patient Accounts Billing Representative to join their team.

Responsibilities

• Follow department and payer processes to ensure all claims are submitted in a timely, accurate, and compliant manner while maximizing reimbursement opportunities.
• Navigate patient insurance plans, payer requirements, claim denials, and reimbursement processes.
• Analyze and review outstanding accounts receivable, resolve claim rejections and denials, prepare appeals and corrected claims, and perform consistent follow-up with insurance payors to resolve billing issues.
• Utilize insurance and practice management online systems to complete tasks such as eligibility, claim status, and claim correction.
• Process insurance and patient refunds as necessary.
• Answer patient and department calls, assist in telephone inquiries regarding patient statements, and establish payment arrangements when appropriate.
• Reconcile all batch totals at day end to ensure accuracy of totals posted and transactions on charge capture, identifying and correcting any discrepancies prior to opening any future batch.

Qualifications

• 1-2 years of medical billing experience, medical claims follow-up, or medical billing certification.
• Knowledge of CPT, ICD10 coding and compliance preferred.
• Familiarity with Medical terminology.
• A combination of education and equivalent experience will be considered.

Benefits

GLFHC offers a great working environment, comprehensive benefit package, growth opportunities, and tuition reimbursement.

Pay

Details on pay are not specified.

Schedule

Details on schedule are not specified.