Biller & Insurance Enrollment Specialist

Job Description

Job Description

Medical Biller & Insurance Enrollment Specialist

Job Summary : The Medical Biller & Insurance Enrollment Specialist is a hybrid role primarily responsible for leveraging the Athena EHR to ensure accurate charge posting, claim submission, timely adjudication, and optimal reimbursement. The hybrid role also involves insurance enrollment, including completing payer applications and maintaining provider schedules to ensure network participation and compliance. Key duties include charge posting, claim review, payment posting for select transactions, accounts receivable follow-up, and responding to inquiries from patients, staff, and management across multiple sites. As performance demonstrates capacity, this position may assume additional responsibilities within the revenue cycle. This is a nonexempt, full-time position in pay grade 4 with the pay range of $21.08 - $28.45. The Medical Biller & Insurance Enrollment Specialist reports directly to the Revenue Cycle Manager.

Required Skills / Abilities :

• Must be able to work independently and manage multiple priorities.
• Familiarity with FQHC billing and compliance regulations.
• Ability to work with others in a team base setting.
• Must possess a valid drivers’ license and have dependable transportation.

Education and Experience :

Working Conditions and Physical Requirements :

Standards of Behavior :

Job Related Competencies :

Commitment to Community :

Choptank Community Health System (CCHS) is committed to creating a safe and open healthcare environment that improves health outcomes and values and respects the unique experiences and perspectives of both patients and staff by :

Duties / Responsibilities :

Accurately process and post charges, submit claims through Athenahealth for all payers, including Medicaid, Medicare, and commercial insurance.

Complete initial insurance enrollment for providers with insurance plans, Medicaid, Medicare, and other networks.

Benefits :

Choptank Community Health is an Equal Opportunity Employer that does not discriminate based on actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital or family status, veteran status, sexual orientation, gender identity or expression, genetic information, political affiliation, arrest record, or any other characteristic protected by applicable federal, state, or local laws. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.