Job Description

Job Description: Medical Biller

Title: Medical Biller

Reports to: CFO

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 Biller will collect payments, manage accounts, provide solutions for billing issues, etc.

CCHC Core Requirements:

• 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.
• Caring and Compassion – We provide empathic comfort to those in distress and share kindness in all interpersonal interactions.
• 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.
• Teamwork – We are members of a diverse interdisciplinary team working together to meet a common goal.
• Accountability – We accept our individual and team responsibilities, and we meet our commitments. We take responsibility for our performance and actions.
• 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

Experience:

• 1+ years of experience in customer service
• 1+ years of experience in a medical environment
• Strong understanding of billing systems
• Strong customer service experience

Additional Skills Required:

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

Additional Skills Preferred:

• Previous billing experience preferred
• 2+ years of experience in a medical environment preferred

Education:

• High school diploma, GED, or equivalent required
• College diploma in finance or accounting preferred
• Previous experience in medical records, claims, or billing areas 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.

Signature: ____________________________ Date: ____________________

Print Name: __________________________

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

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.

Benefits

• Health Insurance
• Dental Insurance
• Retirement Plan
• Paid Time Off (PTO)