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 Billing Clerk is responsible for accurate and timely billing of medical dental and/or behavioral health services provided by a Federally Qualified Health Center (FQHC). This role ensures compliance with federal state and payer-specific regulations while supporting efficient revenue cycle operations.
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 required; Associate degree in healthcare administration or related field (preferred)
- Minimum 12 years of medical billing experience preferably in an FQHC or community health center
Knowledge & Skills
- Familiarity 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: $22 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
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 di...
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 Billing Clerk is responsible for accurate and timely billing of medical dental and/or behavioral health services provided by a Federally Qualified Health Center (FQHC). This role ensures compliance with federal state and payer-specific regulations while supporting efficient revenue cycle operations.
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 required; Associate degree in healthcare administration or related field (preferred)
- Minimum 12 years of medical billing experience preferably in an FQHC or community health center
Knowledge & Skills
- Familiarity 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: $22 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
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