FQHC Billing Coordinator

Job description

Job Summary This role is responsible for managing the claims and billing processes, including assuring accurate and timely charge entry, timely clean claim creation and billing, aggressive and regular claim status follow-up via electronic and verbal communications. Monitor and handle claim rejections, denials, and denial management via appeals processing. Responsibilities also include individualized specialty focused tasks. Duties and Responsibilities: - Possess a knowledge of State(s) and Federal billing and reimbursement guidelines, including third party insurance plans as well as changes in policies and procedures, contracts and fee-schedules as designated by the plan and/or the management for the practice. - Responsible for the day-to-day billing operations, which includes but are not limited to the following: - Review professional Fee for Service and Federally Qualified Healthcare Centers (FQHC) claims for charge posting to ensure accuracy and proper coding practices. - Prepare and submit clean claims to third party payers either electronically via the assigned clearinghouse or by paper in a timely manner. - Payer accepted claim report note: Confirm claims receipt status with...