Community Health Center

Patient Account Representative - Full Time - Middletown

US-CT-Middletown
3 weeks ago(12/27/2017 1:30 PM)
Job ID
2017-5841
# of Openings
1
Category
Administration/Clerical/Support Services

Overview

Community Health Center, Inc. (CHCI). CHC 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 health care.CHCI 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, and the Community eConsult Network.National Nurse Practitioner Residency and fellowship training Consortium, National Institute for the Advancement of Medical Assistants and the Community eConsult Network.

Responsibilities

 

JOB SUMMARY

Coordinates and performs all aspects of accounts receivable collection and reprocessing of claims.

ROLE AND RESPONSIBILITIES

  • Audits and resolves accounts with credit balances
  • Audits and resolves accounts with outstanding balances and determines disposition of delinquent accounts
  • Performs necessary rebilling or adjusting on accounts
  • Responds to patient inquiries regarding process of services
  • Cross trains within department to provide coverage when necessary
  • Collaborates with Office Mgr’s regarding quality of data obtained by office staff, healthcare providers.
  • Organizes work load to achieve a high level of productivity
  • Notifies Manager of information that negatively impacts production
  • Assist with special projects as needed

 

QUALIFICATIONS

Required Skills and Education

 

  • S. Health Information Management Systems (preferred) or Business or related field, with 1+ years experience in a healthcare billing and collections office
  • Billing Certificate Program with 2+ yrs experience; or 3+ years of experience in a healthcare billing and collection office.
  • In-depth knowledge of CPT, ICD-9, CDT-3 and HCPCS coding; 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.

 

Preferred Skills

 

  • Must possess excellent oral and written communication and telephone skills.

PHYSICAL REQUIREMENTS/WORK ENVIRONMENT

  • Minimal physical effort. Works primarily on computer and phone.

Qualifications

Languages
SPANISH

Education
Associates (Required)

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