The position requires a working knowledge of medical terminology, coding terminology (ICD-10, CPT, HCPCS), and insurance / reimbursement practices as they apply to Federally Qualified Health Centers (FQHC’s). This includes, but is not limited to: Verifying patient eligibility, preparation, and submission of claims, denied and unpaid claim resolution, payment posting, answering billing questions, and patient collections.

Primary Duties Include:

• Supports complete and timely revenue collection from patients, third party payers, via accurate data entry and/or correction of patient charges and insurance information into practice management system.
• Maintains productivity standards and revenue cycle management standards to ensure all claims are handled properly.
• Reviews and works aging of AR on assigned payers/financial classes monthly.
• Problem solves common billing, coding and reimbursement issues.
• Effectively works with external third party (insurance) payer representatives to validate and correct information.
• Reviews accounts and applies billing knowledge required to ensure proper and maximum reimbursement.
• Reviews, understands, and effectively communicates information from Explanation of Benefits (EOB) documents from payers, as well as operating instructions, and procedure manuals.
• Assist patients with billing inquiries and consistently displays excellent customer service skills.
• Understands appropriate procedure for refunds to patients and insurance agencies.
• Verifies daily electronic claim submissions and edits and corrects claims that are suspended at clearinghouse or directly with payer.
• Accurately files and retrieves all pertinent documentation related to patient accounts.

Benefits Offered:

• Medical Insurance
• Dental Insurance
• Vision Insurance
• Paid Time Off
• Life Insurance
• 401k Match
• Flexible Spending Account
• And more...
• Requirements

Minimum Qualifications:

• One or more years of related experience in medical/billing reimbursement environment, or equivalent combination of education and experience which may include one or more of the following: Medical billing college classes, medical billing certification, or related medical billing experience.

MCHC Health Centers is committed to the safety and wellbeing of our employees and patients. Therefore, we require that all employees receive all required vaccinations, including, but not limited to, flu (during the flu season typically during October-March each year), COVID-19 vaccine (required in CA) etc., as a condition of employment, and annually thereafter. Medical and religious exemptions may apply