Christian Community Health Center · 5 months ago
Revenue Cycle Associate
Chicago, IL
Full-time
Onsite
Entry Level
$21/hr - $23/hr
2+ years expChristian Community Health Center is seeking a Revenue Cycle Associate who will be responsible for initiating automated claims processing activities and ensuring accurate and timely coding of medical services. The role involves maximizing reimbursement through various programs, assisting patients with billing inquiries, and collaborating with internal and external parties to resolve insurance-related issues.
Child CareHealth CareHospitalMedicalMental HealthNon Profit
Responsibilities
Payment Posting; Processing Claims; Charge Entry; AR Follow-up’ Insurance Verification
Ensure that claims are transmitted electronically each day to the appropriate payer. Ensures that claims that cannot be billed electronically are printed and mailed as needed
Research, edits/corrects and transmits any claim rejected by the claims editing software in order to submit them timely to the appropriate intermediary, which include but are not limited to: Medicare, Medicaid and MCOs
Ensure claims missing diagnosis or other required information are resolved
Denial activities as appropriate in the collection notes. Assists with balancing and reconciling claims processed as needed
Review documentation to ensure proper diagnostic and procedural coding, according to the appropriate classification system
Ensures accurate, timely and appropriate assignment of ICD-10, CPT/HCPCS codes and modifiers for the purpose of billing and compliance with regulatory and payer guidelines
Provides coding feedback to providers, clinical department leadership and revenue cycle team
Assists with implementation and design of workflow updates and coding tools
Escalate coding and documentation issues to revenue cycle leadership and assist facilitating corrective action plans
May be tasked with generating reports and/or analyzing data related to evaluation and management code utilization, CPT code application, denials and/or reimbursement per contracted terms, etc
Support revenue cycle team with coding related denials
Completes billing for Ryan White services
Participates in Ryan White HIV/AIDS Program Target HIV RC trainings Special projects, as assigned
This position is required to report on-site M-F
Qualification
Required
High School Diploma/GED or equivalent
Experience with medical billing and strong knowledge of claim cycle
Minimum of two (2) years billing experience; experience with Medicare/Medicaid billing strongly preferred
Knowledge of federal, state and payer-specific regulations and policies pertaining to documentation, coding and billing with demonstrated ability to interpret such guidelines
Ability to manage and prioritize projects, as assigned
Strong verbal, written, organizational and communication skills
Capable of working in team focused environment
Working knowledge of Excel, Word, Data Entry and computerized health care billing software knowledge
COVID-19 vaccination and negative TB results are conditions of employment
Preferred
Experience with Medicare/Medicaid billing strongly preferred
Knowledge of FQHC services and coding, preferred
Athena EHR knowledge, a plus
Benefits
Blue Cross Blue Shield Medical Insurance
Blue Cross Blue Shield Dental and Vision Insurance
Supplemental Benefits
Life Insurance (Provided by the company)
Company
Christian Community Health Center
Christian Community Health Center offers dental and obstetrics care, mental health services, covid-19 vaccine, and HIV and housing programs.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Aleksandra Papadimitriou, MHA
Chief Integration Officer
Jennifer Seo
Chief Medical Officer
Company data provided by crunchbase