Billing Associate
- 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.
- 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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