This position is responsible for oversight and management of the billing department which includes electronically billing all third party patient claims, including processing rejections, posting insurance payments, performing monthly patient statement billing and itemized billings as requested.
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.
Oversees timely and accurate data entry of payments received from third party payers.
Coordinates timely processing of all rejected and denied claims submitted to third party payers.
Facilitates collection of payments for patient services.
Reconciles daily cash receipts from insurance carriers with database and submits to accounting every night.
Ensures pertinent patient information is entered in the Health Center database completely and accurately.
Oversees the credentialing of all providers with health insurance payers.
Uses problem solving skills to follow up on commercial insurance, Medicare and Medicaid denials.
Manages the communication of billing questions with patients, insurance carriers and GEFCC staff.
Reports to all scheduled work sites and shifts on time and fully prepared to engage in all job responsibilities; location of work sites and shifts will change at the discretion of the supervisor.
Engages in all offered training, consultations and supervisions made available. Fully and professionally respond to and implement directives and advice offered by all supervisory and training personnel, as well as professionally offered feedback from coworkers.
Perform other duties as assigned.
EDUCATION and/or EXPERIENCE
High School graduate/G.E.D. required.
Knowledge of CPT and ICD coding.
One year prior billing experience required.
Certified Professional Coder (CPC) desired.
About Greater Elgin Family Care Center
Greater Elgin Family Care Center (GEFCC) is a 501(c)3 non-profit organization serving the medically uninsured, underinsured and publicly insured residents of Elgin, Streamwood, Sycamore and McHenry, Illinois, and surrounding communities. GEFCC is currently accredited through the Joint Commission and provides comprehensive medical, dental, and behavioral healthcare.Currently, GEFCC offers:- Well Child Care- Physicals and Immunizations- Sick Care- Child, Adolescent & Adult Psychiatry/Behavioral Health- Chronic Disease Management- Women's Health Care, Including OB- Preventive Care Services- Specialty Clinics- Specialty Education- Laboratory Testing- Diagnostic Testing- WIC Services- Medical Case Management- Family Case Management- Preventive and Restorative Oral Health Care.