Clinical Health Network For Transformation (CHN) · 3 days ago
Accounts Receivable/ Billing Representative Remote USA
United States
Full-time
Remote
Entry Level
$18.07/hr - $27.11/hr
1+ years exp
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Responsibilities
Resolving pre-bill claim edits and ensure claims are clean and submitted daily
Reviewing daily clearinghouse rejections, resolving, and resubmitting accounts
Posting all insurance and patient payments received through automated and manual channels
Review aged accounts and take steps to resolve for payment by contacting payors for claim status, process rebilling requests and escalating issues when needed
Reviews denied claims to resolve by resubmitting corrected claims or filing claim reconsiderations
Reconciling all insurance and patient credit balances/overpayments and ensuring a timely refund is processed
First to receive and address all channels of patient billing inquiries and escalate as appropriate
Collect patient co-pays/coinsurance/deductible amounts due after insurance
Establish, monitor, and pursue patients with payment plans until reconciliation
Mail and correspondence management along with other department administrative functions
Perform various clerical activities to support daily operations
Creates and promotes a culture of continuous improvement
Ensures compliance with all CHN and affiliate policies, as well as all state and federal regulations
Demonstrates a commitment to CHN and Planned Parenthood’s mission related to health equity, especially centering racial equity, and deep sense of accountability to community
Demonstrates a commitment to learning about and enhancing practices related to racial equity and the impact of structural racism on healthcare systems
Provides positive and development feedback and accountability related to practices including, but not limited to, equity
Qualification
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Required
1 to 2 years of relevant account receivable experience
Previous experience using ICD-10 Medical Coding and Current Procedural Terminology (CPT)
Knowledge of medical terminology
Strong analytical and problem-solving abilities
Proficiency with Microsoft software (Excel, etc.)
Demonstrated ability to maintain a customer-centric service approach in a fast-paced environment
Excellent written and verbal communication skills and ability to collaborate and interact with all levels within and outside of CHN if necessary
Strong attention to detail and follow-up; and ability to multi-task in fast-paced environment
Demonstrated dedication to Planned Parenthood’s mission, vision, and values
Strong interpersonal skills and the ability to build relationships with stakeholders
Excellent time management, and problem-solving skills
Commitment to advancing race (+) equity in one’s work: interested in expanding knowledge about the role that racial inequity plays in our society
Awareness of multiple group identities and their dynamics, bringing a high level of self-awareness about personal identity, empathy, and humility to interpersonal interactions
Demonstrated ability to communicate clearly and directly as well as hear and act on feedback related to identity and equity with the aim to learn
Strong sense of accountability to equitable practices
Understanding of the impact of identity dynamics on organizational culture
Commitment to CHN and Planned Parenthood’s In This Together service ethos, workplace values, and service standards
Preferred
Strong General Technology Skills: proficient utilization of Excel, Word, and Windows environment, Epic, eCW, NextGen or other practice management systems experience a plus
Medical Billing and Coding certification, a plus
Benefits
Health Care Coverage (Medical, Dental, & Vision); eligibility for full-time, regular employees on date of hire
Flexible Spending Accounts and Health Savings Account
Short-Term Disability and Basic Life & AD&D Insurance provided by CHN
Voluntary elections for Long Term Disability and Additional Life & AD&D Insurance available at cost
Employee Assistance Program
Retirement Plan, 3% employer match after one year of service
Paid Time Off Program includes accrual-based PTO, Health Time Off (HTO), and nine (9) paid Holidays
Company
Clinical Health Network For Transformation (CHN)
CHN (an ancillary organization of Planned Parenthood) is a managed services organization that will provide an expansive suite of integrated standardized shared services and manage the Clinically Integrated Network (CIN) formed to improve quality care delivery, generate additional revenue, and reduce overall cost.
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Lee Bower, CPA
Chief Financial Officer
Aaron Caine
Interim Chief Information Officer
Company data provided by crunchbase
