Job Description
Job description
We’re different. In a good way. In communities like ours, co-workers and patients are our friends and neighbors. Sometimes they are family. And we take care of each other like family. If you’re tired of the typical workplace grind, we have something very different in store for you. Reasonable hours, a devoted team, a commitment to improvement, and believing in the value of every person – whether employee or patient – are just a few of the qualities for which we’re known. We’re a human potential company. Join us and experience the difference of the Desert Sage Way. We can’t wait to meet you.
Desert Sage Health Centers believes in patient-focused care delivered through a caring team of competent and caring health care professionals. As a Patient Centered Medical Home (PCMH), Desert Sage Health Centers prides itself in the quality of care it delivers to more than 8,000 annual patients at three health center site locations. Our integrated system emphasizes prevention, healthy living and is designed to reduce health care disparities and avoid unnecessary trips to emergency rooms or other more costly forms of care.
Desert Sage Health Centers is currently recruiting an energetic full-time Billing/Patient Accounts Representative! This individual will be responsible for ensuring payments related to patient services are recorded and reconciled in a timely manner.
Essential Duties
- Billing and Claims
- Prepares and submits clean claims to third party payers either electronically or by paper.
- Maintains relationship with clearinghouse, including appropriate follow-up with support issues.
- Coordinate the process of patient eligibility through third-party sources.
- Handles patient inquiries and answers questions from clerical staff and insurance companies.
- Identifies and resolves patient billing problems.
- Issues adjusted, corrected, and/or rebilled claims to third party payers.
- Posts adjustments transfer or responsibility and refunds, as necessary.
- Assure coding is compliant and up to date.
- Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
- Reporting
- Coordinate all non-financial aspects of UDS as requested.
- Provide accurate compliance reporting data, reporting through EOB queries as needed.
- Knowledge of medical and/or dental billing and collection practices required.
- Strong keyboard skills.
- Works well in environment with firm deadlines; results oriented.
- Perform multiple tasks effectively.
- Able to work both independently and as part of a team.
- Strong analytical skills required.
- Capable of making timely, independent decisions.
Qualifications
- Previous medical billing experience including knowledge of billing related reporting.
- 3-5 years' experience in healthcare billing and collection practices, preferably with an FQHC.
- Experience working with medical payers including Medicare, Medicaid, and commercial insurance.
- Working knowledge of medical billing systems.
- Experience with Medicare and Medicaid's State Eligibility System.
- Working knowledge of CPT and ICD-10 coding systems; coding certification preferred, but not required.
- GED is required; Associate Degree from an accredited institution is preferred.
- Excellent organizational skills.
- Proficiency in Microsoft Office Suite.
Company Benefits:
- Ongoing training and development.
- Opportunities for career advancement.
- Medical
- Dental
- Vision
- Company Paid Group Life/AD&D Insurance
- 9 Paid Holidays and 1 Floating Holiday to use at will
- Paid Time Off
- HSA
- Employee Assistance Program
- 401(k) Match
- Referral Program
If you are self motivated, compassionate and ready to give back to your community, and have the necessary training, come join our team!
Desert Sage Health Centers provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.
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