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Medical Accounts Receivable Specialist

Company: Community Health Center
Location: Middletown
Posted on: May 5, 2021

Job Description:

Job Description Summary:Community Health Center, Inc. (CHC) with offices in Connecticut, Colorado and California, is one of the country's most creative and dynamic providers of primary medical, dental, and behavioral health services, and a leader in practice-based research, health professionals training, and use of innovative technologies to advance health and healthcare. CHC is designated as a federally qualified health center and a patient-centered medical home by HRSA, the Joint Commission, and NCQA, respectively. We deliver more than 500,000 patient visits per year from primary care hubs and community clinics across the state of CT, all connected by technology and common standards for quality. We employ several hundred medical, dental, and behavioral health providers who are engaged in practice, teaching, and research. Our Weitzman Institute is devoted to research and practice transformation and is recognized around the country as one of the premier research institutes focused on improving health care and health outcomes for special and vulnerable populations. In addition, the organization has developed three wholly owned subsidiaries from the original pilot developments within the Weitzman Institute: the National Nurse Practitioner Residency and Fellowship Training Consortium (NNPRFTC), the National Institute for Medical Assistant Advancement (NIMAA), and the ConferMED Network.Job Description:Coordinates and performs all aspects of accounts receivable collection and reprocessing of claims. ROLE AND RESPONSIBILITIES Audits and resolves accounts with credit balancesAudits and resolves accounts with outstanding balances and determines disposition of delinquent accountsAudits and resolves accounts with credit balancesPerforms necessary rebilling or adjusting on accountsResponds to patient inquiries regarding process of servicesCross trains within department to provide coverage when necessaryCollaborates with Office Mgr's regarding quality of data obtained by office staff, healthcare providers.Organizes work load to achieve a high level of productivityNotifies Manager of information that negatively impacts productionAssist with special projects as needed QUALIFICATIONS Associate's Degree in Health Information Management Systems or related field required, with 1+ years experience in a healthcare billing and collections office OR Coding Certification/Billing Certificate Program (AAPC's CPC or AHIMA's CCA) with 2+ yrs experience in a healthcare billing and collections office In-depth knowledge of CPT and ICD-10 codes, Medicare and Medicaid billing rules, insurance reimbursement methods, the claims appeal process, understanding of managed care contracts and capitation payments.Proficient in Microsoft Excel, Word, Access and electronic e-mail systems.Location:Middletown ION Building - Finance & Patient AccountsCity:MiddletownState:ConnecticutTime Type:Full time

Keywords: Community Health Center, Middletown , Medical Accounts Receivable Specialist, Healthcare , Middletown, Connecticut

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