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Job Description Summary:

Job Description:

Coordinates and performs all aspects of accounts receivable collection and reprocessing of claims.

ROLE AND RESPONSIBILITIES

+ Audits and resolves accounts with credit balances

+ Audits and resolves accounts with outstanding balances and determines disposition of delinquent accounts

+ Audits and resolves accounts with credit balances

+ Posts payments and adjustments and take action when rates do not match established fee schedules

+ Performs necessary rebilling or adjusting on accounts

+ Responds to patient inquiries regarding process of services

+ Answers incoming Patient Accounts calls as member of the AR team phone queue

+ Cross trains within department to provide coverage when necessary

+ Collaborates with Office Mgr’s regarding quality of data obtained by office staff, healthcare providers.

+ Organizes work load to achieve a high level of productivity

+ Notifies Manager of information that negatively impacts production

+ Assist with special projects as needed

QUALIFICATIONS

+ One of the following must be met: 1) Associates degree in Health Information Management Systems (or related field) with 1+ years’ experience in a healthcare billing and collections office **OR** 2) Coding Certification/Billing Certificate Program (AAPC’s CPC or AHIMA’s CCA) with 2 years’ experience in a healthcare billing and collections office

+ In depth knowledge of CPT and ICD-10 Codes, Medicare and Medicaid billing rules. Insurance reimbursement methods, the claims appeal process, understanding of managed care contracts and capitation payments

+ Proficient in Microsoft Excel, Word, Access and Outlook

This Position is available for remote work.

Organization Information:

Community Health Center, Inc. (CHC) with offices in Connecticut, Colorado and California, is one of the country’s most creative and dynamic providers 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. We deliver more than 500,000 patient visits per year from primary care hubs and community clinics across the state of CT, all connected by technology and common standards for quality. We employ several hundred medical, dental, and behavioral health providers who are engaged in practice, teaching, and research. Our Weitzman Institute is devoted to research and practice transformation and is recognized around the country as one of the premier research institutes focused on improving health care and health outcomes for special and vulnerable populations. In addition, 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.

Time Type:

Full time

MWHS provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.