Medical Billing Specialist (Certified Billing and Coding Specialist)

Job Description

Job Description: Medical Billing Specialist (Certified Billing and Coding)

Title: Medical Billing Specialist

Reports to: Revenue Cycle Supervisor

Pay Type: Hourly

Job Summary:

Charlotte Community Health Clinic offers high-quality medical, dental, and behavioral health services for children and adults. We work towards a healthy community where all individuals, regardless of ability to pay, have access to comprehensive health care. The Medical Billing Specialist will collect payments, manage accounts, provide solutions for billing issues, etc.

CCHC Core Requirements: 

1. Patient Centered Customer Service – Whether directly or indirectly, we work to support the delivery of an excellent patient experience to everyone served by the organization.
2. Caring and Compassion – We provide empathic comfort to those in distress and share kindness in all interpersonal interactions.
3. Respectful Communication – We communicate openly, honestly and without judgment while honoring each individual’s uniqueness and assuming the best of those with whom we interact.
4. Teamwork – We are members of a diverse interdisciplinary team working together to meet a common goal.
5. Accountability – We accept our individual and team responsibilities, and we meet our commitments. We take responsibility for our performance and actions.
6. Customer Safety – We recognize and correct potential hazards to protect our customers and ourselves. 

Key Responsibilities:

• Arranges payments, manages accounts, and monitors/tracks delinquent accounts.
• Creates and establishes payment methods with patients for delinquent accounts, tracks payments, and follows up with patients when gaps in payment occur.
• Collects outstanding balances from patients.
• Sends monthly statements to patients.
• Maintains the highest level of confidentiality in work.
• Follows all policies and procedures of clinic.
• Reports any compliance issues to supervisor.
• Consistently maintains quality results by following clinic’s policies and procedures.
• Participates in job enhancing opportunities such as trainings and seminars.
• Serves CCHC’s clinical population by adhering to all local, state, and federal laws.
• Contributes to team by sharing creative input and challenging ideas.
• Timely filing of insurance claims to clearinghouse or individual insurance companies electronically or via paper.
• Review and correction of claim edits within 24 hours of being received from clearinghouse and internal claims scrubber.
• Reviews information necessary for insurance claims such as patient, insurance ID, diagnosis and treatment codes and modifiers, and provider information to ensure clean claim submission.
• Regularly meet with supervisor to report issues or obstacles with regards to clean claim billing and to report trends or issues with insurance reimbursement.
• Understanding of COB including resubmissions or secondary billing of claims, corrected claims, void and replacement claims, and refiling to insurance.

Minimum Qualifications:

• High school diploma, GED, or equivalent.
• **Must be a Certified Billing and Coding Specialist (CBCS)**.
• 1+ years of billing experience in a medical setting.
• Prior experience with Epic.

• Strong understanding of billing systems.

   

Additional Skills Required:

• Confidentiality
• Legal compliance
• Strong communication skills
• Attention to detail
• Highly organized
• Analysis and documentation skills
• Strong time management

Additional Skills Preferred:

• 2+ years of experience in a medical environment preferred
• FQHC CBCS is highly preferred.
• Prior FQHC experience is highly preferred.

Physical Requirements:

The physical demands described here represent those that must be met by an employee to successfully perform the essential functions of this job.

• Repetitive movement of hands and fingers – typing and/or writing.
• Lifting of greater than 50 pounds
• Occasional standing, walking, stooping, kneeling, or crouching.
• Sedentary work that primarily involves sitting and/or standing.

The Mission of Charlotte Community Health Clinic is to provide the highest quality, patient centered, health care services for low-income and other underserved individuals. Our Vision is a healthy community where all individuals, regardless of ability to pay, will have access to comprehensive, coordinated quality health care. We screen potential employees to first ensure alignment with our core requirements followed by the requisite position skills set. In doing so, we need staff committed to this mission who will do their best to live and work the characteristics of our core values as we strive to care for ever increasing members of the communities we serve.

Charlotte Community Health Clinic, Inc. is an Equal Opportunity Employer.  We do not discriminate in any aspect of employment with regard to age, race, sex, national origin, disability, color, marital status, veteran’s status, or religion.

Company Description

Started in 2000 by a group of committed volunteers, Charlotte Community Health Clinic is a Federally Qualified Health Center (FQHC) that offers high-quality medical, dental, and behavioral health services for children and adults. 

Although we serve all populations, as a FQHC, we have a special purpose of serving the underserved. We work towards a healthy community where all individuals, regardless of ability to pay, have access to affordable, quality, and comprehensive health care. We accept most major health insurance plans, as well as Medicaid and Medicare. For patients without health insurance, we offer a discount program based on income and family size. 

Our organization is growing! We are thrilled about the expansion of care that our growth allows us to provide. Our goal is to recruit, develop, and retain a team that not only meets the minimum job qualifications, but shares our passion for serving those who need it most.

For more information about us, use the link below:

https://charlottecommunityhealth.org/en/

Benefits

• Medical Insurance
• Dental Insurance
• Vision Insurance
• Short Term & Long Term Disability
• Life Insurance
• 401K Retirement Plan w/ discretionary match
• Paid Time Off (PTO)
• Holiday Pay
• Employee Assistance Program (EAP)