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POSITION SUMMARY
Manages the day to day supervision and processes associated with the billing department. Ensures the accurate and timely billing and collection of medical and dental claims through a well-trained, properly directed, staff and organization. This position reports to the CFO.
PRIMARY ACCOUNTABILITIES
Achieve Results
Operational Excellence
Relationships
Leadership & Stewardship
PRIMARY TASKS AND DUTIES
· Submit the claims to the appropriate health plans on a daily basis, review all denials for complexity, make corrections and resubmit claims within 30 days of the denial received date.
· Complete claim forms, submit bills and claims, perform quality control procedures on all claim forms and detail bills to ensure accurate billing.
· Contact vendors regarding denials or benefit coverage.
· Verify insurance benefits.
· Manage all staff members, and provide day to day supervision, training, and support
· Responsible for running all billing reports and maintaining report books by funding source.
· All other duties as assigned.
ESSENTIAL FUNCTIONS/KEY COMPETENCIES
POSITION REQUIREMENTS
Education
· Bachelor’s Degree from an accredited university or college preferred.
· 3 – 5 years’ experience in Medical billing
· Coding certification – AAPC or AHIMA mandatory
Experience
· Demonstrated “skilled” experience and expertise in billing and record keeping.
· Demonstrated experience and significant knowledge of contract insurance, HMO’s, PPO’s, Medicare, etc.
· Demonstrated supervisory/management experience
· Significant computer/spreadsheet experience and demonstrated knowledge of PC files and related computer workings required.
· Demonstrated analytical skills and aptitude for solving problems.
· Demonstrated experience with providing quality customer service in difficult situations.
· Demonstrated high level of communication and customer service skills
Physical/Environmental
· Ability to interact with computer screen for up to six hours at a time (visual acuity required).
· Must have manual dexterity for use of keyboard. Ability to remain stationary for periods of up to four hours. Ability to communicate via phone, mail and in person to resolve disputes, solve problems, etc.
· Cognitive skills to analyze, calculate, problem solve issues related to invoices, billing, and other relevant matters associated with the invoicing and billing processes.
· Normal overtime/extended work hours
Job Type: Full-time
Pay: $65,000.00 - $75,000.00 per year
Benefits:
Schedule:
Education:
Experience:
Work Location: In person
Full Time
Ambulatory Healthcare Services
$53k-68k (estimate)
09/19/2023
05/29/2024
chesapeakehc.org
SALISBURY, MD
100 - 200
1994
MARY BENEDICT
$10M - $50M
Ambulatory Healthcare Services
Established in 1994, Chesapeake Health Care is a Federally Qualified Health Center serving patients in Somerset, Wicomico, and Worcester Counties. We have more than 100 providers in many specialties including adult and family medicine, pediatrics, obstetrics and gynecology, urogynecology, mental health, dental, and pharmacy. Our mission is to provide the highest quality, affordable, culturally competent healthcare and preventative services. We offer a full range of pharmacy services as well. We constantly expanding our services to better serve our community. Chesapeake Health Care has location...s in Salisbury, Berlin, Princess Anne, and Pocomoke. To learn more about YOUR Community Health Center, or to make an appointment, please visit www.ChesapeakeHC.org.
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