Healthcare Billing Specialist

The Billing Specialist is responsible for billing and collection of insurance, denials from all assigned payers, and self-pay accounts receivable, reconciliation of payments received with amounts posted to the billing system and collaborates with involved parties to resolve identified billing problems or issues.

The Benefits of Fairfield Community Health Center

• Medical, Dental and Vision Insurance
• Disability Insurance
• 401 (k)
• 4% 401(k) Match
• Up to 160 PTO hours
• 13 yearly paid holidays
• Education assistance
• Tuition Reimbursement
• Hands-on training

Primary Duties:

• Reviews patients' accounts for accuracy, makes adjustments as needed which includes encounter rate billing adjustments.
• Reviews and submits electronic statements on a monthly basis.
• Posts payments received and reconciled system postings.
• Reviews credit balance report and prepared refund check requests for overpayments.
• Receives, responds, and documents all incoming account inquires and correspondence related to billing issues.
• Completes charge entries on a daily basis and tracks unbilled encounters.
• Editing rejections and correction on denials with resubmission of insurance claims for payers.
• Performs all routine and special follow-up on all assigned accounts using telephone and correspondence to affect collection of patient account balances.
• Establishes agreed-upon payment plans for current and overdue account balances, monitors payment compliance with terms of established plans.
• Evaluates uncollectible accounts and makes recommendations to the manager concerning account write-offs and/or placement with an outside collection agency.
• Documents any and all activities on accounts, including corrections, collection activities, etc.
• Initiates & completes account adjustments to correct account balances and/or comply with contractual and sliding fee scale requirements.
• Responsible for other duties as assigned.

Competencies/Skills:

• Strong note taking and comprehension.
• Ability to work independently as well as in a team environment.
• Ability to prioritize, multi-task and manage time effectively.
• Demonstrates excellent customer service skills through courteous and professional interaction with patients, visitors, and staff.
• Demonstrates basic understanding and knowledge of electronic practice management and health record.
• Basic usage of Excel and Word.
• Quality focus, strong organization, and attention to detail.
• Demonstrates dependability through good attendance and punctuality.
• Willingness to learn, embrace change and maintain a positive attitude.

Experience, Education/Training, and Licensure:

• High School diploma or GED required.
• 2-5 years of medical billing experience or equivalent is preferred.
• Working knowledge of FQHC billing preferred.
• Working knowledge of CPT and ICD-10 coding.
• Knowledge of Medicare and Medicaid guidelines.
• Knowledge of Commercial and Private Payer guidelines.
• General knowledge of UB04, CMS 1500 and ODJFS 6780.
• Demonstrated ability to work independently with minimal supervision.
• Proficient with computers and Windows based software programs.
• Willingness to become certified as Community Health – Coding & Billing Specialist (Ch-CBS).

About Fairfield Community Health Center

We are a 501(c)(3) non-profit organization, working to improve the overall health and wellness of our community. Our purpose is to make sure everyone has access to quality, affordable healthcare, regardless of insurance or income status.

Our integrated approach to your care gives us a complete look at all aspects of your health in order to determine the best health plan to fit your unique needs. Our mission is "To Strengthen the Community by Caring for You."

For more about us, visit our website at https://www.fchc.org