Billing Specialist

Position Overview: Under the direction of the Chief Financial Officer (CFO), the Billing Specialist collaborates with the External Billing Consultant and CFO, as needed, to carry out various clerical tasks related to maintaining clinic patient accounts. The role requires completing all work accurately and promptly, along with other related clerical duties as assigned.

What You Will Do:

• Oversee all billing activities, including posting, billing (both electronic and paper), payment posting, and collection of patient accounts.
• Provide guidance to front-line staff and other billing team members regarding billing processes.
• Collaborate with the Human Resources Department to ensure that all providers are properly accredited.
• Manage the credentialing process for clinical practitioners associated with payer sources.
• Review and verify provider notes, ensuring accurate coding for procedures and diagnoses.
• Maintain and update the insurance configuration mappings within the practice management system.
• Work closely with other departments to resolve billing issues that result in denials.
• Receive payments for current and outstanding patient balances, prepare patient receipts, and generate finance report logs.
• Reconcile all payments and checks received for the day with the amount deposited.
• Process patient charges from both Electronic Practice Management (EPM) and paper encounters daily.
• Open and close batches within the EPM system.
• Review and correct data entered into the EPM system, including diagnosis codes, payer information, and patient demographics.
• Verify the validity of Insurance/Payer identification numbers and patient eligibility, including re-enrolling patients into programs that cover services at the claim level.
• Address data inconsistencies with other departments or clinics in a professional manner.
• Respond to customer inquiries about billing and provide assistance as needed.
• Perform general clerical duties, including correspondence.
• Operate various office equipment, such as computers, printers, copiers, calculators, fax machines, and telephones.
• Provide oral and written translation services in English and Spanish, as needed.
• Perform additional tasks as assigned, including cross-training for departmental needs.

Minimum Qualifications:

• High School diploma or GED.
• Proficiency in using computers and a 10-key calculator.
• Bilingual in English and Spanish.

Preferred Qualifications:

• Two years of experience in medical or dental insurance billing.
• Knowledge of billing practices, rules, and regulations for FQHC billing.
• Pursuit of relevant certification is recommended.

Physical Requirements:

• Ability to balance, bend, lift, carry, and pull up to 20 lbs.
• Ability to sit and stand for extended periods, typically longer than four hours.
• Flexibility to work a varied schedule, including evenings, weekends, or as needed.
• Manual dexterity and ability to use hands and fingers for feeling, grasping, and operating office equipment.
• Adequate hearing ability for communication and monitoring office environments.
• Good vision for reading documents, operating office equipment, and observing surroundings.
• Capability to stoop, crouch, crawl, or kneel as necessary for office tasks.
• Ability to talk clearly and effectively for communication.
• Ability to walk and move around the office environment.

What We Offer:

• 401(k) Retirement Plan
• 7 Paid Holidays
• Paid Sick Time
• Comprehensive Medical, Dental, and Vision Insurance
• 100% Employer-Paid Basic Life Insurance
• Voluntary Employee Supplemental Benefits
• Employee Assistance Program (EAP)
• Education Reimbursement
• Flexible Spending Account (FSA)

Who We Are:

As a Federally Qualified Health Center (FQHC) and 501(c)(3) nonprofit, El Centro Family Health is dedicated to providing affordable, accessible, and high-quality healthcare to the people of Northern New Mexico. Our mission is to enhance the quality of life in our community by delivering primary care and health education through a network of clinics and collaborative programs. At El Centro, we are committed to offering vital health services in a compassionate, supportive, and patient-centered environment.

Equal Employment Opportunity Statement:

El Centro Family Health is an equal opportunity employer. We do not discriminate based on race, color, religion, gender, gender identity, sexual orientation, national origin, disability, age, veteran status, or any other protected characteristic. We are committed to fostering a diverse and inclusive workplace for all.