Billing Specialist I

Description

Join our mission to provide patient-centered healthcare that is accessible and affordable for all. 

About HCHC

HCHC is a non-profit 501(c)3 federally qualified health center, a true universal access medical facility. HCHC brings together an exceptional team of healthcare providers, a responsive and helpful administrative staff, and a supportive Board of Directors to fulfill our mission of providing comprehensive primary care health services to anyone in the community regardless of their financial situation.

Position Summary

The Billing Specialist is responsible for accurately generating and submitting claims to insurance companies on behalf of HCHC. This role serves as a liaison between HCHC and insurance providers to ensure timely and accurate reimbursement. The specialist will work closely with the Medical and Dental Billing teams and the Accounting department to ensure efficient revenue cycle management.

Responsibilities

· Claims Processing: Generate and submit claims within the Electronic Medical Record (EMR) system.

· Coding Accuracy: Review and ensure proper coding of claims before submission to the Clearinghouse.

· Claims Management: Follow up on billing discrepancies, denials, and unpaid claims to maximize revenue collection.

· Insurance Coordination: Work directly with insurance companies to appeal denied claims and resolve any billing issues.

· Credentialing: Ensure timely and accurate credentialing for all providers and payors

· Payment Posting: Accurately post insurance and patient payments to accounts.

· Accounts Receivable (AR): Run reports and monitor outstanding balances to manage AR effectively.

· Insurance Verification: Verify patient insurance eligibility and update insurance details on claims as needed.

· Additional Duties: Perform other related tasks as assigned to support the billing team’s operations.

Requirements

Required Skills and Abilities

· Proven typing skills are required. Must have excellent communication and customer service skills. Must be able to perform basic adding and subtracting math skills.  Must be able to organize patient information, handle multiple tasks concurrently, possess good interpersonal skills and be able to work effectively with patients and health center staff. 

Education and Experience

· High School Diploma or equivalent degree is required. 

· Medical/Dental Billing experience preferred

· Previous Medical/Dental office experience preferred

Physical Requirements

· This is a moderately active role, which includes prolonged sitting, and walking around the office.

· Requires the ability to lift or move up to 25 pounds, bending, squatting, sitting, and standing as necessary. 

· Must be able to lift, carry and handle equipment, supplies and other work site materials based on position duty requirements.

Work Location

You may be required to travel to any of our sites as part of your responsibilities at any time.

Position may be eligible for remote work.