Community Action Partnership of Kern ยท 1 day ago
Billing Specialist
Gering, NE
Full-time
Onsite
New Grad, Entry LevelCommunity Action Partnership of Kern is seeking a Billing Specialist to manage all aspects of the Health Center's billing processes. The role involves charge entry, payment posting, account receivables management, and ensuring compliance with billing regulations.
CommunitiesNon ProfitSocial Assistance
Responsibilities
Responsible for all aspects of the Health Center's billing including charge entry, general coding guidelines, payment posting, account receivables management, rejection, and denial management
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
Qualification
Required
Responsible for all aspects of the Health Center's billing including charge entry, general coding guidelines, payment posting, account receivables management, rejection, and denial management
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
Company
Community Action Partnership of Kern
Community Action Partnership of Kern engages in personal and family development opportunities to build and achieve family self-sufficiency.
Founded in 1965
501-1000 employees
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Wonderful Community Grants
2023-11-08Grant
Leadership Team
Jeremy Tobias
Chief Executive Officer
Tracy Webster
Chief Financial Officer
Recent News
2025-03-26
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