Medical Biller
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Job Location:
Brooklyn, NY - USA
Monthly Salary:
Not Disclosed
Posted on:
15 hours ago
Vacancies:
1 Vacancy
Department:
Job Summary
The Bedford-Stuyvesant Family Health Center (BSFHC) is a Federally Qualified Health Center (FQHC) that serves all of the primary health care needs of families in the heart of North and Central Brooklyn. Our mission is to provide the most professional courteous and highest quality health care with dignity to those we serve especially the undeserved population without regard for ability to pay
The Medical Biller is responsible for accurate and timely billing claims submission payment posting and follow-up for services provided by a Federally Qualified Health Center (FQHC). This role requires strong knowledge of FQHC billing rules Medicare Medicaid Managed Care Plans and NYS specific regulations to ensure maximum reimbursement and compliance with federal state and payer requirements.
Essential Duties and Responsibilities
- Prepare review and submit claims to Medicaid Medicare commercial insurance and other third-party payers in accordance with FQHC billing guidelines
- Apply correct CPT HCPCS ICD-10 and revenue codes including FQHC-specific PPS and wrap-around billing requirements
- Verify patient insurance eligibility and benefits prior to billing
- Post payments adjustments and denials accurately in the practice management system
- Research and resolve claim rejections denials and underpayments in a timely manner
- Process patient statements and respond to billing inquiries with professionalism and confidentiality
- Maintain compliance with HRSA CMS Medicaid and payer regulations
- Coordinate with clinical staff front desk and coding team to resolve documentation or billing discrepancies
- Maintain accurate billing records and documentation for audits and reporting
- Assist with month-end closing and revenue reporting as needed
Education & Experience
- High school diploma or equivalent; Associate degree in healthcare administration or related field (preferred) and Certification such as CPB CPC (preferred)
- Minimum 3-5 years of medical code billing and administrative experience
- knowledge of medical terminology
- eClinical Works preferred
- Medical Billing/Coding certified a plus.
- Prior experience in an FQHCor community health center strongly preferred
Knowledge & Skills
- Strong Knowledge with Medicaid Medicare and Managed Care plan billing and with insurance provider portals clearinghouses and claims tracking tools
- Proficiency with EHR and practice management systems
- Ability to meet deadlines and manage multiple tasks
- Team oriented with the ability to work independently
- Strong written and verbal communication skills
Hourly Rate: $27 per hour starting rate/based on experience
Benefits Overview: We offer attractive compensation with comprehensive benefits including: Medical Dental Vision 401k Retirement Plan with discretionary Match Free Life Insurance and Long-Term Disability Transportation Plan Generous Paid Vacations and Holidays.
BSFHC IS AN EQUAL OPPORTUNITY EMPLOYER
Key Skills
- EMR Systems
- Medical Collection
- Athenahealth
- eClinicalWorks
- ICD-10
- Medical Coding
- Medical office experience
- ICD-9
- Medical Billing
- Medical Terminology
- CPT Coding
- Medicare
About Company
BSFHC offers a broad range of health care services with an emphasis on prevention, education and critical support services in the heart of Brooklyn New York. medical center, diseases, diabetes, cardiology, eyecare, dental, social work, children hospital, counselling, Gym, Fitness, Ful ... View more
