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Physicians Revenue Cycle Billing Representative/ hybrid-remote

Company: CAN Community Health
Location: Sarasota
Posted on: May 27, 2023

Job Description:

CAN Community Health one of the nation's largest providers of HIV Services has an exciting opportunity for an Physicians Revenue Cycle Billing Representative for our corporate financial team. This person will be able to work onsite or a hybrid/remote work from home schedule.
We are looking for someone who is passionate about serving the needs of individuals impacted by HIV and other infectious diseases. You will become part of our professional team that drives home our Company's Mission and Values. We offer good quality of life with an excellent schedule, competitive pay with a bonus plan, premiere benefits package with a retirement plan with a generous company matching contribution. We have received recognition in 2022, 2021, 2019, & 2018 NPT's Best Non-Profit to Work for Award.
COVID-19 vaccination status preferred but not required for this position.
CAN is a Drug-Free Workplace. All potential hires will be required to take and clear a pre-employment drug screen upon job offer.
You can find out more about us by visiting our website at Apply Today!
Salary: $21.00 to $25.00 per hour, based on education & experience. premier benefit package included
Statement of Purpose: This position is responsible to coordinate billing and clerical information between the third-party administrator, Office Coordinator, and departments within a multi-department and multi-site healthcare organization. The position works failed bills/claims in host (clearinghouse) and billing system.
Essential Responsibilities: Physicians Revenue Cycle Billing Representative/ hybrid-remote

  • Job duties include but are not limited to performing daily billing tasks such as: daily failed bill, failed claims on host system and failed claims within billing system.
  • Works 277 (claim status/claim acknowledgement report), rebills, late charges, and any additional assigned reports.
  • Updates to excel (special project) reports capturing status of accounts billed/not billed.
  • Prints and mails hardcopy claims along with any additional documentation needed and/or request to ensure accurate and timely processing and claim payment.
  • Ensuring all duties are completed timely and accurately while meeting the mission and goals of CAN Community Health, as well as meeting the regulatory compliance requirements.
  • Contact patients, insurance, and any third party for insurance/health plan to resolve claim edits or billing data.
  • Works 277's rebills and late charges.
  • Accurately processes daily charges capture into EMR, communication with clinical staff regarding billing.
  • Maintain patient information; update data as necessary and communicate changes to the appropriate parties.
  • Research and respond to patient/insurance billing inquiries in a timely manner.
  • Issues adjusted, corrected, and/or rebilled claims to third party payers.
  • Assures billing is compliant and up to date.
  • Promote and practice CAN Community Health, Inc.'s mission and values, and adheres to its policies and procedures. Secondary Tasks: Physicians Revenue Cycle Billing Representative/ hybrid-remote
    • Maintain confidentiality regarding patient/client, family, and employee in accordance with HIPAA, regulatory, professional and organizational standards.
    • Demonstrate courtesy and respect in all interpersonal relationships with CAN Community Health clients, staff, and visitors.
    • Cross train with others to increase understanding of CAN Community Health procedures. Requirements
      Education/Professional Experience: Physicians Revenue Cycle Billing Representative/ hybrid-remote
      • High school degree or GED required, associate degree preferred or three years billing experience in a medical setting.
      • CRCR(Certified Revenue Cycle Representative) or CPB(Certified Professional Biller) preferred but not required.
      • TB Testing
      • COVID Vaccinated
      • Annual safety training provided by CAN Community Health, Inc. Knowledge, Skills and Abilities Required: Physicians Revenue Cycle Billing Representative/ hybrid-remote
        • Must have billing experience with multiple payers and providers.
        • Extensive knowledge of SME (Subject Matter Expert) for one payer preferred but not required.
        • Proficient in Microsoft Office Suite (i.e., Outlook, Word, Excel, etc.)
        • Experience and working knowledge with EMR (electronic medical record) system; practically eClinicalWorks(preferred not required).
        • Experience working with medical payers including Medicare, Medicaid, and commercial insurance.
        • Understanding of basic medical billing process including coding (CPT, HCPCS, ICD-10) and terminology.
        • Good written and verbal communication and interpersonal skills.
        • Ability to coordinate several tasks at one time.
        • Able to work with minimal direct supervision.
        • Strong interpersonal skills and the ability to work effectively with a diverse population. CAN Required Trainings: Physicians Revenue Cycle Billing Representative/ hybrid-remote
          • General Orientation HIV/AIDS Violence in the Workplace
          • Sexual Harassment HIPAA Health Stream Courses (as assigned) Physical Requirements: Physicians Revenue Cycle Billing Representative/ hybrid-remote
            • Neat, professional appearance.
            • Exerts up to 10 lbs. of force occasionally and/or a negligible amount of force frequently or constantly in lift, carry, push pull, or otherwise move objects, including the human body. Involves sitting most of the time but may involve walking or standing for brief periods of time.
            • Requires expressing or exchanging ideas by means of spoken word, visual and auditory acuity.
              Work Environment: Physicians Revenue Cycle Billing Representative/ hybrid-remote
              • This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, audio visual, telephones, photocopiers, filing cabinets and fax machines.
                Other Duties: Physicians Revenue Cycle Billing Representative/ hybrid-remote
                Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties of responsibilities that are requires of an employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
                Responsible To: Revenue Cycle Manager
                CAN Community Health is an equal opportunity employer that is committed to diversity and values the ways in which we are different. All qualified applicants will receive consideration without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

Keywords: CAN Community Health, Sarasota , Physicians Revenue Cycle Billing Representative/ hybrid-remote, Accounting, Auditing , Sarasota, Florida

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