FQHC/HSN Medical Biller - $50/hour - Flex Hours, Fully Remote, Part Time

Job Details

JOIN THE CHC FAMILY!

We are a Non-Profit Federally Qualified Healthcare Center located in Central Massachusetts. Our company opened in February 2002 in response to a Community Needs Assessment that identified a need for medical service for the underserved members of our community. We strive to provide compassionate care to everyone who walks through our doors, regardless of income or insurance status, including low-income, underinsured, uninsured, publicly housed, and homeless populations. CHC is committed to fostering, cultivating, and preserving a diversity, equity, and inclusion culture. At CHC, we strive for a workforce that reflects our community. We are proud to be able to serve our community! We would love to hear from you if you are passionate about our work!

The Billing Specialist is responsible for reviewing and editing claims, submitting claims for payment, correcting errors and resubmitting denied claims, contacting insurance payors and patients when necessary, and other duties related to Accounts Receivable as assigned.

Qualified candidates must possess the following combination of education and experience:

• Must have extensive experience working through MassachusettsHealth Safety Netissues. Please do not apply if you have never submitted to MA HSN.
• EPIC experience high preferred.
• High School diploma or GED required.
• Experience in third-party billing and collections preferred. ICD10 and CPT coding, contract compliance, and information reporting requirements.
• The ability to work independently and with teams to solve problems
• Strong Healthcare Revenue Cycle operational workflow knowledge
• Role is for a long-term project with the opportunity for additional work upon completion

Major Responsibilities:

• Correct and resubmit claims to the Massachusetts Health Safety Net
• Monitor HSN claims submission and remittance
• Post HSN payments and manage denials
• Work to correct any file or EDI issues and communicate directly with HSN regarding claims issues
• Monitor and work Epic Work-Queues related to HSN, investigate payment-related claims issues and prepare claims for submission
• Demonstrates understanding and commitment to the health center mission
• Demonstrates understanding and commitment to the established CHC Values and Standards
• Perform all other job-related duties that may be assigned

 Community Health Systems

 06/30/2024

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