Billing and Collections Specialist Per Diem

Starting at $47,840

MAJOR FUNCTION

This position collaborates closely with the Revenue Cycle Manager & Revenue Cycle Supervisor, to ensure the seamless execution of day-to-day operations within the Billing Department. With a focus on detail and accuracy, the Billing and Collections Specialist will work to ensure the timely provider encounters for submission to insurance companies. They will also work with the Revenue Cycle Specialist and revenue cycle vendor(s) to research and resolve billing issues.

• Works closely with Revenue Cycle Manager, Supervisor and/or Director to establish priorities in duties/responsibilities.
• Works closely with the Revenue Cycle Specialist with the goal of maximizing revenue for HJAHC.
• Manage relationships with outsourced revenue cycle vendor(s).
• Attend Medical Staff meetings and deliver special presentations as needed.
• Collaborate with all employees to achieve Henry J. Austin Health Center's goals and objectives, following established policies and procedures.
• Demonstrate willingness and flexibility to perform tasks and projects assigned in the Finance Department.
• Stay updated on healthcare regulations and reimbursement trends to optimize revenue generation.
• Assist in training new staff members on revenue cycle processes and procedures as needed.
• Ability to keep up with multiple deadlines, project goals, and to keep up with high volume of work.
• Performs any additional duties as may be assigned by supervisor, manager or director.
• Works on special projects as needed/assigned.
• Duties, responsibilities and activities may change, or new ones may be assigned at any time with or without notice.

• Minimum of 2-3 years of billing experience required in a healthcare setting.
• Minimum of 4-5 years of experience in FQHC settings preferred with an understanding of the workings of City, State and Federal assistance programs such as LOA, HRSA, and Grants.
• Proficiency in Athena EHR system preferred.

• Organization reserves the right to request certifications and/or licensures as needed.

• High School Diploma required, bachelor’s degree preferred, or some college combined with equivalent experience.
• Proficiency in using Electronic Health Records (EHR) and billing software (Athena Preferred).
• Proficient in word processing and skilled in utilizing Excel and its functionalities.
• Knowledge of medical terminology.
• Provider billing and collections experience (3 years) with an understanding of medical insurances i.e., Medicare, Medicaid, Managed Care, and Commercial insurances, and a thorough understanding of medical insurance billing basics, i.e., charges, allowed amounts, payments, adjustments, denials, capitation, eligibility, coordination of benefits.

• Knowledge: Understanding of healthcare billing…