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Community Action Partnership - National Office · 2 hours ago

Billing Specialist

Gering, NE, US

Full-time

Onsite

Entry, Mid, Senior Level

$15.75/hr - $18.42/hr

2+ years exp

Community Action Partnership - National Office is a non-profit organization dedicated to improving the lives of low-income individuals and families in Western Nebraska. The Billing Specialist will be responsible for all aspects of the Health Center’s billing, including charge entry, payment posting, and account receivables management, while ensuring compliance with billing regulations.

Child CareConsultingFacilities Support ServicesNon ProfitSocial AssistanceTraining

Responsibilities

Work with patients to answer billing questions and concerns; facilitate error correction when needed or escalate to the appropriate internal party

Maintain and update spreadsheets and tracking pertaining to account balances, aging, and claim rejections/denials accurately and timely

Complete daily account billing: generate claims, mail claims or send electronically to appropriate insurance carrier. Routinely analyze and work claims that are rejected or denied

Assure adjustments and payments are made appropriately and accurately in the Electronic Practice Management system

Remain current with agency billing policies and ensure billing processes are following agency billing policies

Assure timely identification of patient account credit balances and processing of refunds

Manage accounts receivable by performing collection activity procedure to past due A/R accounts of insurance carriers and clients

Make recommendations to the Billing Manager for problem resolution and identification of erroneous processes at the front end of the billing cycle and encounters

Accurately document all activity taken in each patient’s account

Maintain understanding of 3rd party billing hierarchy

Maintain understanding of current coding and billing regulations and compliance requirements for the Bureau of Primary Health Care, Medicaid, Medicare, and private billing/insurance companies

Remain current with ICD-10, CPT and HCPSS codes and users

Participate in educational activities and attend regular team and agency meetings

Maintain confidentiality of records and communications following HIPAA privacy and security policies and procedures

As a CAPWN team member, dedicate your energy to providing high quality, value-added customer service and care to our clients. Embrace the CAPWN Standard of Behavior, practicing integrity, strong communication and respect for leaders and peers. Engage with the team and commit to improving and nurturing the health and well-being of the Western Nebraska Communities we serve

All other duties as assigned

Qualification

Health-related billing experienceMedical terminologyBilling claims managementData collection processesElectronic Practice ManagementCustomer serviceOrganizational skillsAttention to detailCommunication skills

Required

High School diploma or GED required

Ability to develop and utilize an understanding of medical terminology

Have computer skills to navigate and input data into established medical software

Have general knowledge and understanding of data collection processes

Possess strong organizational skills, attention to detail and ability to work with high accuracy

Preferred

Two years' experience with health-related billing processes preferred

Have four years' experience with health-related billing processes

Have knowledge of and experience with billing first and third-party claims and management of accounts receivable and reporting criteria

Six years' experience with health-related billing processes OR Hold an associate degree in Health Information Management or related degree

Benefits

Health

Dental

Vision

Health Savings Account (HSA)

Flex Plan

401k

Basic and Voluntary Life Insurance

Eleven Paid Holidays

PTO

Extended Illness (EIB)

Employee Assistance Program

Aflac

Community Discounts

Potential for Incentive Pay

Company

Community Action Partnership - National Office

The National Community Action Partnership is the nonprofit, national membership organization representing the interests of the 1,100 Community Action Agencies (CAAs) across the country that annually help 17 million low-income Americans achieve economic security.

Founded in 1964

Washington, District of Columbia, USA

11-50 employees