Responsible for maintaining the professional reimbursement program.
Ensure compliance with current payments and rules that impact billing and collection.
Performs billing and computer functions, including patient & third party billing, data entry and posting encounters.
Follow-up of any outstanding A/R all-payers, self-pay, and the resolution of denials.
Prepares and submits clean claims to various insurance companies either electronically or by paper.
Handle the follow-up of outstanding A/R all-payers, including self-pay and /or the resolution of denials.
Answers question from patients, FHCHC staff and insurance companies.
Identifies and resolves patient billing complaints.
Prepares reviews and send patient statements and manage correspondence.
Handle all correspondence related to insurance or patient account, contacting insurance carriers, patients and other facilities as needed to get the maximum payments and accounts and identify issues or changes to achieve client profitability.
Take call from patients and insurance companies regarding billing and statement questions.
Process and post all patient and/or insurance payments.
Reviewing clinical documentation and provide coding support to clinical staff as needed.

High School diploma or GED with experience in medical billing is required.
A certified professional coding certificate (CPC AAPC), knowledge of third party billing requirements, ICD and CPT codes, and billing practices are also required.
Excellent interpersonal and communication skills and ability to work as a member of the team to serve the patients is essential.
Must be detail oriented and have the ability to work independently.
Bi-lingual in English and Spanish highly preferred.
FQHC/EPIC experience is desirable.

Competitive salaries
Generous paid time off and 9 paid holidays
403(b) plan with employer match
Medical, dental, and vision coverage
Life and AD&D insurance
Employee Assistance Program
Tuition reimbursement
Employee referral program
Continuing education and licensure reimbursement
Eligibility for state and federal loan repayment programs for qualifying roles
Voluntary supplemental benefits including short and long term disability, life insurance, and accident, critical illness, and hospital indemnity coverage
Sign on bonuses for qualifying positions

Medical Billing Coder

Key skills