Description

Christ Health Center has an excellent opportunity for a Medical Billing and Coding Specialist to join our team. The Medical Billing & Coding Specialist will provide administrative support and collaboration with the CFO & Revenue Cycle Manager in establishing coding, billing, and payment for all medical services. The Billing Specialist will participate in the coding, documentation, billing and payment cycle for Christ Health Center, a Federally Qualified Health Center and will be available for special projects requested by the Revenue Cycle Manager.

Benefits:

-401K & 401K Matching

-Medical, Dental, & Vision Insurance

-$25,000 Basic Life & Accidental Death & Dismemberment Insurance-After the 90 Day Probationary Period During The Term of Employment with CHC

-STD, LTD, and Optional Life Insurance

-Paid Time Off

-Employee Assistance Program

Schedule: Monday-Friday

Supervisory Responsibilities

• None

Major Duties & Responsibilities: Job Skills

• Review and complete coding for charges submitted by healthcare providers
• Use the EHR platform to initiate the billing of electronic claims
• Perform follow-up on unpaid claims as needed
• Assist underserved patients with service discounts and reduced costs
• Complete payment postings and resolve collections in compliance with established policies, regulations, procedures, and standards
• Help patients understand statements and bills according to Christ Health Center credit and      collection policies
• Examine insurance policies and other third-party sponsorship materials for sources of payment
• Communicate with insurance carriers regarding clinical information requested and to resolve issues      relating to coverage and payment
• Help resolve internal and external coding and billing issues based on compliance standards to maximize the full revenue cycle of the organization
• Attends and participates in in-service education for staff, quality assurance program, and risk-management programs.
• Performs other duties as assigned.
• Each employee of Christ Health Center is vital to providing overall quality care to our patients and may be included in the patient care team and daily huddle when deemed  necessary by the Core Care Team.

Requirements

Required Skills/abilities

• Excellent verbal, organizational and written communications skills.
• Requires analytical skills, attention to detail, effective organization skills, ability to work in a fast-paced environment and ability to self-direct with minimal supervision.
• Requires the ability to work in a multi-cultural setting (Bi-Lingual in Spanish is plus)
• Proficient in Microsoft Office (Word, Excel, Outlook)

Qualification, Education, Experience

• Associates degree or higher
• Minimum of 2 years Billing experience preferably in a physician office
• Experience with Medicaid, Medicare and commercial claims filling and insurance verification
• FQHC Experience preferred
• AAPC certification preferred
• Athena experience preferred

Attendance Standards

• Punctual and dependent for assigned/confirmed shifts.

Language Skills

• Ability to read and comprehend simple instructions, short correspondence, and memos; ability to write simple correspondence and reports; Ability to effectively present information in one-on-one and small group situations to patients, visitors, and other employees of the organization.

Mathematical Skills

• Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals; ability to compute rate, ratio and percent.

Reasoning Ability

• The ability to apply general rules to specific problems to produce answers that make sense. The ability to combine pieces of information to form general rules or conclusions (includes finding a relationship among seemingly unrelated events) and to convey the information to others.

Physical/Mental Demands

• Work requires the ability to lift objects weighing up to 20 pounds
• Work requires ability to carry objects weighing up to 20 pounds.
• Work requires ability to sit +/- 90% of the time.
• Work requires ability to stoop and bend, to reach, and grab with arms and hands; manual dexterity and to communicate with others.
• Work requires proofreading and checking documents for accuracy.
• Work requires ability to use a keyboard and visualize a computer monitor to enter words or data.
• OSHA personal exposure risk category II (Tasks that involve no exposure to blood, body fluids or tissues, but employment may require performing unplanned category I tasks).
• Airborne personal exposure risk category I (Possible exposure of the healthcare worker to patients capable of transmitting M. tuberculosis). Universal precautions will be adhered to at all times.

Environmental/Working Conditions

• Medical office environment.

Cultural Expectations

• Understands Christ Health Center Mission Statement and Values.
• Consistently displays Christ Health Center’s Mission on a daily basis.
• Treats patients, visitors and co-workers with love and respect.