Sun River Health · 1 day ago
Billing Professional
United States
Full-time
Remote
Entry Level
$21/hr - $22.82/hr
1+ years expSun River Health is a Federally Qualified Health Center providing comprehensive health services to underserved communities. They are seeking a Billing Professional responsible for managing Accounts Receivable, ensuring timely follow-up on unpaid claims, and collaborating with the Finance Department and other billing staff.
Non ProfitHealthcareHealth CareMedical
Responsibilities
Ensuring unpaid claims are reviewed and appropriate action is taken
Denials are worked and appealed as appropriate
Appropriate appeals are written, sent to the payer and followed up on in a timely manner
Appropriate insurance adjustments are applied as needed
Work with the Finance Department to reconcile the payment and subsequent cash reports
Communicate to their Supervisor any problems or issues as they occur
Maintain a current knowledge of payer guidelines, fee schedules, contracts, quality incentives, and system knowledge including ECW, Cognos and Claim Remedi
Collaborate with other billing staff and communicate with our network of community health centers
Adhere to all Sun River Health policies and procedures
Qualification
Required
Minimum of one to two years of experience in billing or revenue cycle management in either a physician practice or other similar setting
High School Diploma/GED required
Certification in Coding (CPC) is required through AAPC
Preferred
Associates Degree or equivalent experience is preferred
Experience with New York State Medicaid (EMEDNY, Epaces) and third party (commercial carriers) insurance follow up preferred
Knowledge of New York State Department of Health programs or federally qualified health center operations considered advantageous
Experience working in a diverse employment setting and working collaboratively with other employees is advantageous
Company
Sun River Health
Sun River Health is a nonprofit firm that offers comprehensive healthcare, medical treatment, and programs for community wellness.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
James Sinkoff, MBA, CPA
Deputy Chief Executive Officer & CFO
Wanda V. Mitchell
Vice President of Planning/JEDI Special Avisor to CEO
Recent News
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