This job exists to: functions as a member of the billing team under the direct supervision of the Senior Accountant. The Billing/Coding Specialist is responsible for initiating billing to maximize reimbursement for services rendered by providers at Sapphire Community Health. The Billing/Coding Specialist reviews posted charges and medical records for complete and accurate coding entry, creates and reviews claims for accurate and timely submission and addresses working errors and denials accordingly. This position works directly with patients to address account concerns, billing issues and establish payment plans. In addition, the Billing/Coding Specialist correctly applies sliding fee adjustments, contractual allowances, bad debt write-offs and any other adjustments or discounts in compliance with Federal, State and internal policies and guidelines.

Experience and Education

1. High School Diploma.

2. Two (2) years’ minimum experience in Medicaid and Medicare healthcare billing.

3. FQHC billing experience preferred.

4. CPC coding certification or willingness to obtain within 12 months of hire.

Desired Qualifications

Knowledge and understanding of:

1. Medical terminology;

2. Healthcare coding procedures;

3. Medicare and Medicaid billing requirements;

4. Insurance eligibility and application of resources for determination;

5. Medicare, Medicaid and 3rd party payer claims management;

6. Desire and dedication to work;

7. Medical business office procedures;

8. Cultural sensitivity;

9. HIPAA Privacy and Security Rules;

10. Microsoft Office (Outlook, Word, Excel, Internet) and electronic medical record and payment management systems.

Job Type: Full-time

Benefits:

• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Day shift

Experience:

• Medical billing: 2 years (Preferred)
• Medical coding: 1 year (Preferred)

Work Location: In person