Overview

Park DuValle Community Health Center is a 501c3 non-profit, federally qualified health center that has served the local community for over 50 years. Park DuValle Community Health Center strives to adhere to the highest quality standards of patient care, regardless of patients’ insurance status or ability to pay. Employees of Park DuValle Community Health Center, Inc. are deemed to be federal employees qualified for protection under the Federal Tort Claims Act (FTCA).

PDCHC offers primary care for adults and children, women's health, behavioral health services, dental, WIC and Nutrition, insurance enrollment, lab, pharmacy and radiology services, transportation, exercise classes, and other enabling services. 

We are an Equal Opportunity Employer and do not discriminate against any qualified employee or applicant for employment because of race, color, sex, age, national origin, ancestry, religious creed, sexual orientation, gender identity and/or expression, status as a veteran, mental or physical disability or any other federal, state, or local protected class.

Job Skills / Requirements

Experienced Medical Biller/Accounts Receivable is responsible for the accurate and timely filing of all medical claims for PDCHC Adult Health, Behavioral Health, Pediatric & Women Health Departments including denials and appeals. This position monitors patients’ accounts, collects payments from patients and follows up with insurance carriers on reimbursements. Biller will be responsible for assigned A/R and running denials reports. Biller should have at least 2 years’ experience in medical insurance claim billing and follow up.

*This is NOT a remote position *Must work from office Monday - Friday*

Primary Position Responsibilities

• Must be able to read and analyze explanation of benefits and communicate with patients about their outstanding balances and handle the administrative responsibilities of billing insurances and processing payments if needed.
• Understand how to interpret charts and some knowledge of medical terminology.
• Work the Account Receivable Aging for specific payers in a timely manner.
• Create claims from Missing Slips, scrubbing and correcting any errors to submit cleans claims in a dropped status.
• Follow-up with providers and medical staff as needed to ensure all patient visit documentation is completed before sending claims.
• Process medical claims to appropriate primary, secondary, and/or tertiary insurance company according to insurance guidelines.
• Accurate and timely review, reconcile, and post patient and insurance payments (if needed), both by EFT and check.
• Daily electronic claims follow up and submission of documentation requested from the insurance companies.
• Resolve claim denials with insurance and resubmit as appropriate including any requested information.
• File Appeals as necessary on all denied or outstanding claims.
• Monitor the Accounts Receivable by running reports and resubmission of corrected claims, collecting any patient balances, and assigning any account holds as needed.
• Correct account set up errors (guarantor, demographics, insurances, etc.).
• Employee Safety: Safely performs all duties; follows required protective protocols to ensure personal safety as well as the safety of others.
• Other duties as assigned by Supervisor.

Education Requirements (Any)

1( ) Year of Billing Experience
High School Diploma or Equivalent (GED)

Additional Information / Benefits

Benefits: Medical Insurance, Life Insurance, Dental Insurance, Vision Insurance, Paid Holidays, Short Term Disability, Long Term Disability, PTO Accrual (Bi-weekly)