Macman Management Healthcare Services Hiring for FQHC Medical Biller (Part Time) at Los Angeles, CA Full Time

FQHC Medical Biller

Purpose:

The Patient Account Representative/Medical Biller is responsible for providing high quality billing services to our clients. The Patient Account Representative will recognize potential high-risk issues and develop techniques to help collect money and streamline processes. The team member will discuss difficult or unique problems with the Revenue Cycle Supervisor, resolve issues, apply new information to future collection issues, and make suggestions to enhance our efficiency and effectiveness through process improvement with the assistance of their immediate supervisor. This position will enhance the revenue cycle department’s reputation by accepting ownership for accomplishing new and different requests and exploring opportunities to add value to job accomplishments.

In this role, you’ll be collaborating with an innovative team of people moving exciting projects forward and working to improve systems and processes along the way for various types specialties including FQHC, CHC, Behavioral health, Dental, etc.

Education:

High School Diploma (or GED or High School Equivalence Certificate)

Required Experience:

At least two (2) years of full-time experience in all facets of FQHC/CHC billing within a multi- entity, healthcare environment.

Preferred Certificate in Medical Billing.

Prior Nextgen, eCW and EPIC experience with practice management system. Demonstrate the ability to identify and resolve underlying issues related to outstanding revenue collections, including capturing lost opportunity. Follow clinic billing processes in a manner consistent with medical, administrative, ethical, legal, and regulatory requirements of the health care system.

Skills:

• Proficient in Commercial/ Private Payers
• Knowledgeable in FQHC/CHC/RHC billing
• Knowledge of Health care third party reimbursement programs; such as Medicare, Medi-Cal and Managed Care Health Plans.
• Knowledge of the methods, and practices of billing, accounts receivable, and collection
• Ability to interpret billing policies and procedures for various programs
• Ability to independently carry out varied responsible billing assignments
• Ability to solve problems and resolve conflicts
• Demonstrate attention to detail
• Excellent communication skills; must be able to work in a team environment
• Demonstrates effective communication and problem-solving skills
• Demonstrates working knowledge different billing systems
• Demonstrates competency in proper (Current Procedural Terminology) coding guidelines, proper use of modifiers, payer specific billing guidelines, Correct Coding Initiatives, etc.
• Demonstrates ability to proof and post batch entries daily
• Demonstrates working knowledge of the End of day documentation
• Audit claims for accuracy and compliance with program billing requirements
• Understand reimbursement arrangements and is able to follow up with payors to assure that all claims are paid
• Work to reduce Account Receivable by improving accuracy of claims and reducing claim denials
• Demonstrate the ability to Identify trends and provide solution
• Must process required number of claims
• Additional duties as assigned

Job Type: Part-time

Pay: From $22.00 per hour

People with a criminal record are encouraged to apply

Experience:

• Medical billing: 2 years (Required)
• Commercial Billing: 2 years (Required)
• FQHC: 2 years (Required)

Work Location: Remote