Medical Billing & Coding Specialist

Job Description

Job Description

COMPANY INFORMATION :

As a federally qualified health center (FQHC) Family Health Center serves all people with quality healthcare, dignity, and respect. We envision a seamless health care delivery system that is proactively responsible for the medical, dental and psychosocial needs of underserved individuals, children and families residing in Kalamazoo County.

MISSION : To provide clinical excellence with outstanding patient experience while ensuring that all members of the community have access to quality, comprehensive, patient-centered health care.

Full-Time Medical Billing & Coding Specialist

POSITION SUMMARY :

The Medical Billing & Coding Specialist is responsible for reviewing daily patient account transactions with a high level of speed and accuracy. Assists with the collection of insured accounts and maintenance of documents. Posts payments to transactions to patient accounts accurately.

DUTIES AND RESPONSIBILITIES :

• Performs insurance / patient payment posting and resolves payment transaction discrepancies with assistance from the Lead / Supervisor / Manager when necessary.
• Working knowledge of ICD-10, CPT, and HCPCS to review chart notes and ensure appropriate codes are assigned to all claims regarding diagnosis and procedures for provider services performed.
• Working knowledge of payer websites and practice management systems with the ability to recognize and resolve front / back-end claim denials from assigned payers and all others as determined necessary by the Billing Supervisor / Manager, utilizing collection procedures and adjusting of patient accounts when necessary.
• Answer patient questions regarding statements in person and through phone calls.
• Knowledge of appropriate third-party liability (TPL) and government websites (i.e. CHAMPS, WPS, Connex, Availity, HMO Medicaid websites preferred, and working knowledge of ICD-10, CPT, and HCPCS.
• Ability to use Microsoft Office, Internet, practice management system and relational database system software.
• Ability to work effectively and efficiently under tight deadlines, high volumes and multiple interruptions.
• Attend all departmental and organizational meetings as required.

COMPETENCIES : Collaborative

Solid Character

Organizational Support

Leadership

Safety and Security

TYPICAL WORKING CONDITIONS :

TYPICAL PHYSICAL DEMANDS :

QUALIFICATIONS :

EDUCATION / EXPERIENCE / CERTIFICATIONS / LICENSES :

Apply today to help make a difference in our community!

Family Health Center is an equal opportunity employer and reserves the right to adjust this role based on organizational needs.