Demo

Billing Associate

Community Health Net
Erie, PA Full Time
POSTED ON 3/20/2025
AVAILABLE BEFORE 4/18/2025
Summary

The Billing Associate will support all billing and credentialing activities. They will coordinate and communicate with numerous parties (internal and external) including but not limited to patients, third-party payers, clinical teams, patient support staff, finance and Community Health Net’s third-party billing/ credentialing team.

Duties And Responsibilities

  • Assists with patient entry and obtaining accurate data for processing claims on a timely basis.
  • Provides follow-up on encounter completion and provider tasking.
  • Supports all billing activities including coordination with the billing/ credentialing team on deposits, patient receipts, claim processing, encounter, and third-party payer information.
  • Supports all credentialing activities including coordination with the billing/ credentialing team and completion of necessary credentialing information for the third-party payers.
  • Provides patient support services in accordance with best practices and in support of CHN’s mission.
  • Identifies outstanding denial/ payer issues and coordinates resolution with appropriate parties.
  • Provides follow-up on outstanding accounts receivable and collection duties as necessary.
  • Participation in recurring meetings with the billing/ credentialing team, including coordination and resolution of outstanding items.
  • Coordinates reporting needs for the billing/ credentialing team and other parties as necessary.
  • Supports the reporting and reconciliation of the Medicare credit balances and the DHS wraparound reports.
  • Provides productivity data and reporting as requested.
  • Use computers for various applications, such as database management, word and spreadsheet processing.
  • Collaborates with operational/ clinical staff on training as necessary on various topics including but not limited to registration/ demographics, encounter completion, Sliding Fee Discount Program, Migrant Farmworker program, Ryan White and Healthcare for Homeless billing.
  • Provides coverage for other Finance duties as necessary.
  • Perform other job duties as assigned.

Requirements/Qualifications

  • High school diploma (or GED equivalent) with two (2) years applicable experience or Associate/ Bachelor’s degree.
  • Certification in Billing and Coding preferred.
  • Knowledge of word processing and spreadsheet software (i.e. Microsoft Office).
  • Demonstrated ability to create reports and spreadsheets.
  • Demonstrated ability to respond to inquiries in a tactful and courteous manner.
  • Demonstrated ability to perform duties independently with minimal supervision and to exercise proper judgment.
  • Understanding of clinical terminology is required.

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