CHC follows the CMS requirements which requires all team members to obtain a COVID-19 vaccination.
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
Top Reasons to Work at Community Health Centers
- A great benefits
package that includes healthcare coverage, paid time off, paid holidays,
retirement plan, and more.
compensation with advancement opportunities and tuition / training
- Awarded "Best and
Brightest Companies to Work for in the Nation" in 2018, 2019, and 2020.
- Awarded "Top 100
Workplaces for Growing Families" by Orlando Sentinel.
- Modernized and
attractive health centers, that patients love.
The Billing Representative will review all claims for billing accuracy
and compliance. Responsible for filing and ensuring all third party payer
claims are paid timely. Responsible for completion of all duties and reports
listed on the Billing Guidelines.
Primary Responsibilities and Specific Duties:
- Reviews claims for
accuracy in accordance with Medicare, Medicaid and Managed Care policies.
- Transfers balances
to patient's responsibility on non-covered items, benefits denied or
charges applied to the deductible.
- Researches and
ensures corrections are made on denied claims due to missing or incorrect
- Performs insurance
collection (follow-up) function utilizing the collection system management
and aging reports. As a part of
this function generates and reviews aging reports to submit to insurance
carriers when appropriate and in accordance with established guidelines.
- Runs paper claims
when necessary and submits claims to appropriate fiscal intermediary.
- Prepares all
refund paper work for accounts payable and enters adjustments into the
eClinical Works (eCW) System.
- Maintains current
knowledge of all Medicare/Medicaid policies and procedure updates.
- Reviews and
appropriately places account claims in the collection management system in
collection guidelines, sends collection letters and establishes phone
conversations concerning outstanding balances.
payment arrangements with responsible parties for outstanding balances.
- Processes all
returned mail according to established policy and procedure.
- Processes all
incoming patient correspondence and answers all patients' questions
regarding their account balance.
- Processes electronic
file for monthly patient statements.
- Makes necessary
adjustments to correct patient accounts for correct billing.
recommendations to Patient Accounts Receivable Coordinator regarding
account disposition (collection agency placement, write-off discharge,
- Reports billing
challenges to the Patient Account Receivable Coordinator.
- Answers questions
related to insurance and patient billing for all internal/external customers.
- Ensures accuracy
of payments received from third party payers per contracts and current
- Posts contractual
adjustments as required to Medicare, Medicaid, HMO, PPO and other accounts
per contracts and current reimbursement rates.
- Collects and posts
payments, and completes appropriate forms/reports and submits daily to
Patient Accounts Receivable Coordinator and Bookkeeper.
- Performs all other
duties as assigned.
School Diploma or equivalent is required.
year of medical billing and collection background and experience in a
physician practice setting is required.
- Or a combination of completed education in Medical
Billing and Coding with experience on a combination on any of the
following: posting charges, creation of claims and adjustments,
collections, payment arrangements, payment posting or insurance
- For a position with duties focused on dental billing,
strong experience in dental is required and the medical billing and collection
experience is preferred.
- Must be experienced in working with eClinical Works or
other similar medical software products.
- Must have basic knowledge of medical terminology.
- Must have good communication and customer service
- Must understand
the billing procedures for Medicare/Medicaid, Workers Compensation, HMOs,
PPOs and other managed care and commercial insurance plans.
- Must have
knowledge of state credit laws and regulations and generally accepted
- Ability to read,
understand, and follow oral and written instructions.
- Maintain patient
communication and customer service skills.
- Able to work
flexible hours as needed.