Metro Community Health Center extends great benefits to our eligible employees.
MCHC current benefits are:
- MCHC pays 100% of the employee premium for UPMC Medical, United Concordia dental, STD, LTD
- Life insurance ($100,000)
- VBA vision coverage is offered as voluntary coverage that paid for by the employee
- Medical and Dependent Care FSA and HRA
- 2 weeks of paid parental leave
- 20 days (4 weeks) of PTO for your 1st two years
- 12 paid holidays
- 401k with a 4% match
- Competitive Wages
ESSENTIAL FUNCTIONS:
- Responsible for daily billing operations to ensure maximum productivity, accuracy of claims submission and third party follow up through automated work queues while assisting with resolution of disputed claims.
- Maintains a good working knowledge of the specific billing requirements for all payers for FQHC.
- Including assigning appropriate DPT-4 codes and appropriate ICD- 10-CM diagnosis codes selecting the codes that accurately describe the condition for which the service or procedure was performed.
- Provides ongoing training and development of staff as required to ensure payor requirements are met.
- Review claims editing reports for consistent errors and follow up with the management for improvement in quality and performance.
- Analyze and trend billing issues related to A/R, i.e., Specialty, Payer, Provider, etc. for efficiencies while taking proactive approach to resolve A/R issues prior to escalation.
- Engage in open communication with management regarding information system, third party payor, and regulatory updates and/or enhancements.
- Contacts patients to obtain, verify, and update account information when necessary
- Work with the payors and subscribers to resolve issues and facilitate prompt payment of claims.
- Develop and analyze reports that will monitor claim edit trends
- Ability to work independently, with minimal supervision. Must be very reliable and punctual as attendance is important for this position
- Participate in review and evaluation of claim denials to ensure appropriate reimbursement.
- Participate in assessing claim edits to enhance the billing system functionality and identify user training and development needs.
- Process monthly patient statements and answer patient inquiries in regard to those statements.
- Generate patient service invoices in a timely manner.
- Being familiar with the responsibilities of Patient Access and willing to perform such duties on a daily basis up to but not limited to answering patient calls, scheduling, insurance verification and prior authorizations.
- The list of duties and responsibilities is not intended to be all-inclusive and may be expanded to include other duties or responsibilities that management may deem necessary from time to time.
