Billing Managed Care Assistant - Winter Garden

A career at Community Health Centers offers a unique opportunity to join a team that makes a real impact in our community every day, by improving individuals' health while enhancing their quality of life. 

Top Reasons to Work at Community Health Centers

  • A great benefits package that includes healthcare coverage, retirement plans, vacation, sick leave, and more.
  • Competitive compensation with advancement opportunities and tuition / training reimbursement.
  • Awarded "Best and Brightest Companies to Work for in the Nation" in 2018 and 2019.
  • Awarded "Top 100 Workplaces for Growing Families" by Orlando Sentinel.
  • Modernized and attractive health centers, that patients love.

Job Summary:

To provide assistance and clerical support to the Managed Care and Billing Departments.  Assist in billing and managed care functions.  Responsible for completion of all duties and reports listed.

Primary Responsibilities and Specific Duties:

  • Type, copy and distribute correspondence, memos, agendas and reports.
  • Take minutes at meetings.
  • Prepare and process bank deposits.
  • Enter daily data in Posting Audit Spreadsheets
  • Consolidate and submit Denial Spreadsheets and Provider Coding Logs
  • Arranges managed care audits.
  • Schedule meeting space at center and maintain calendar of same.
  • Review and reassign the items in the Managed Care Fax inbox in eCW.
  • Opens and sort mail for the Billing & Managed Care department.
  • May run errands.
  • Assists with and participates in events and functions of center.
  • Set up and maintain filing system for the Billing & Managed Care department.
  • Set up and maintain Managed Care web portal log ins.
  • Assists with entry of Information Services requests and Facility Work Orders.
  • Assists with mock emergency drills and critiques.
  • Transfers balances to patient's responsibility on non-covered items, benefits denied or charges applied to the deductible.
  • Runs paper claims when necessary and submits claims to appropriate fiscal intermediary.
  • Reviews and appropriately places account claims in the collection management system in eCW.
  • Processes all returned mail according to established policy and procedure.
  • Processes electronic file for monthly patient statements.
  • Posts contractual adjustments as required to Medicare, Medicaid, HMO, PPO and other accounts per contracts and current reimbursement rates.
  • Performs all other duties as assigned.

Qualifications:

Education:

  • High School Diploma or equivalent is required.

Experience:

  • A minimum of 6 months experience in a physician practice setting is required.
  • Must have good communication and customer service skills.
  • Experience with Microsoft Office Software including Outlook, Word and Excel

Certification/Licensure:

  • NA

Special Skills:

  • Ability to read, understand, and follow oral and written instructions.
  • Maintain patient confidentiality.
  • Excellent communication and customer service skills.