What we offer:

Benefits:

• Medical
• Dental
• Vision
• FSAs/HSAs
• Accident/Hospital
• Retirement Plan
• + other Employee & Family Support Programs

Other Perks: Flexible Schedules, Competitive Vacation Time, Paid Holidays, Growth Opportunities/Career Ladders/Hybrid Position
Compensation: Approximately $19.16 - $21.56 per hour. All individual pay rates are calculated based on the candidate's experience, education/certifications, and internal equity.

OVERALL RESPONSIBILITIES:

To uphold Clinica Family Health Services’ mission to provide the highest level of continuously improving quality medical, dental, and behavioral care, health education and preventive services possible to the uninsured and underserved, embracing the values of:

• Service to Others
• Creativity
• Diversity
• Excellent Teamwork
• Do the Right Thing
• Make Clinica a Great Place to Work

This job exists to ensure accurate and timely billing and collections of services performed at Clinica Family Health and its partner locations.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Prepares and submits billing data and medical claims for all lines of service and all bill types performed at Clinica Family Health, in an accurate and timely manner.
• Monitors, investigates and appeals denied claims, verifying accuracy of patient financial information to assure payment is obtained.
• Posts payments, both manual and electronic, for all payers, including patient payments. Ensures accurate application of transaction and adjustment codes, and verifies balances due, issuing credit refunds to patient, when appropriate.
• Responsible for following daily and monthly closing procedures and communicating any delays or potential problems.
• Receives and responds to patient calls with professionalism and sensitivity to the population served. Addresses patient’s concerns regarding their bills, assists with setting up payment plans, and resolves billing errors from both internal and external sources, as needed.
• Responds to internal and external sources requesting billing records in HIPAA compliant manner.
• Responds to patient and insurance inquiries professionally and resolves issues per Clinica policies.
• Manages encounter storage and retrieval as required.
• Team focused in all efforts, working closely with the Coding Team to resolve claim issues or to avoid unnecessary delays in processing claims.
• Runs and processes all patient statements and third-party claims on a timely basis as required.

OTHER DUTIES AND RESPONSIBILITIES:

• Maintains a safe work environment by remaining informed of and compliant with the clinic’s safety policies, and by application of safe practices in area of own responsibility.
• Compliance:
• Knowledgeable of and compliant with laws and regulations governing area of responsibility.
• Responsible for reporting any potentially non-compliant conduct.
• Cooperates fully with our Compliance Officer in upholding our Compliance Plan
• Performs other duties and responsibilities, as required.

SUPERVISION: No

SCOPE OF AUTHORITY:

Progress is reviewed quarterly, and results are measured and formally evaluated annually.

POSITION QUALIFICATIONS:

PRINCIPAL WORKING RELATIONSHIPS:

• All Clinica employees
• Federal and State HealthCare Agencies
• Commercial Insurance Carriers
• Clinical Family Health Patients
• Outside vendors and customers

MATERIALS AND EQUIPMENT DIRECTLY USED:

• Computer
• Data and data-based development and resources
• Telephone

WORKING ENVIRONMENT / PHYSICAL ACTIVITIES:

• No risk of exposure to blood borne pathogens.
• Usual office environment
• Ability to travel from clinic to clinic in own vehicle as required
• Evening or weekend work may be required.

COVID-19 Vaccine (Required) Religious or Medical Exemptions available via application process.

Clinica Family Health is an Equal Opportunity Employer. We prohibit unlawful discrimination against applicants or employees on the basis of age 40 and over, race, color, religion, national origin, sex, disability, sexual orientation, gender identity, or any other applicable status protected by federal, state, or local laws.