Works closely with the Revenue Cycle Manager (RCM) as well as with the Billing Analyst and Medical Payment Entry Specialist to ensure prompt payment of all medical services provided at BVCHC.
EDUCATION, EXPERIENCE, & SKILLS High School Diploma or equivalency is required, healthcare finance certificate or Associates Degree preferred Minimum 2 years of experience with medical accounts receivable, third-party medical billing, or healthcare finance required Experience with FQHC's and Alternate Payment Methods preferred Ability to gain proficiency in the BVCHC's Practice Management Software General knowledge of all third party insurance carriers required Extensive knowledge of insurance carriers required - to include, but not limited to, timely filing limits, coordination of benefits, deductibles, PCP, HMO, PPO, Federal and State Insurances, capitation, referrals, specialty services, in network co-pays, out of network co-pays, authorizations, dual coverage, coverage dates, covered services, non-covered services, coverage limitations and maximums Working knowledge of 837 billing and 835 payer processes required OTHER REQUIREMENTS Reliable transportation required Bilingual ability in English and Spanish, Portuguese or Creole speaking abilities preferred Cultural sensitivity necessary to work with a diverse patient and staff population required Ability to work independently and collaboratively required Knowledge of computers and electronic medical records required Knowledge of Microsoft Suite preferred Strong communication skills, both verbal and written required Proficiency with Excel spreadsheets required Strong multi-tasking skills and consistent attention to detail required Ability to exercise and maintain confidentiality, courtesy and patience in responding to inquiries is required