(Richmond) Patient Financial Services Associate

Paycom; Richmond (KY); On-site; USD 17,000 - 24,000; Full time

Benefits offered by this job

Employer Paid Health

Life & Disability Insurance

4 Weeks of PTO

8 Paid Holidays

401k Retirement Plan with up to 4% ERM

Job summary

White House Clinics is seeking a Billing Specialist to ensure accurate submission of claims to private insurers, Medicare, Medicaid and self-pay patients. You will collaborate with payors, providers, and patients to resolve paid and denied claims, process payments, and manage EOBs and statements.

The role requires knowledge of insurance workflows, HIPAA privacy, and accurate coding (ICD-10, CPT/CPT-HCPC). Strong communication and attention to detail are essential for success in a fast-paced

Qualifications

• Knowledgeable of insurance and reimbursement processes.
• HIPAA privacy requirements for patient information.
• Strong verbal and written communication skills.
• Understanding of ICD-10 and CPT/HCPC billing codes.
• Proficient in medical terminology.
• Strong telephone and customer service skills.

Responsibilities

• Prepare and submit clean claims electronically or on paper to various insurers.
• Collaborate with insurance companies, providers, and patients to get claims paid.
• Process payments from insurance companies and appeal unpaid/denied claims.
• Handle EOBs, statements, and patient inquiries about balances.
• Perform collection actions and establish payment plans when needed.
• Complete credentialing and re-credentialing of providers as required.

Skills

Insurance knowledge

Communication skills

Detail oriented

Multitasking

HIPAA knowledge

Education

High school diploma or GED

Tools

Billing software

EHR systems

Job description

At White House Clinics, we do health care differently. Our multi-disciplinary care teams incorporate the expertise of medical, dental, behavioral health, pharmacy, and care navigation professionals to provide patients with comprehensive care designed to help them achieve their health goals. While our work is fast-paced, our teams enjoy being able to work collaboratively to support patients.White House Clinics employees enjoy a competitive wage, alternative schedule that often allows for a day off through the week, and a robust benefit package including:Employer Paid Health, Life & Disability Insurance4 Weeks of PTO8 Paid Holidays401k Retirement Plan with up to 4% Employer MatchAnd MoreAt White House Clinics, we believe in providing our employees with opportunity for both personal and professional growth in a challenging and rewarding work environment. We recognize the contributions that each person makes to the team and value each person’s input as we work to deliver outstanding patient care. Join us today!PRIMARY FUNCTIONEnsure patient claims are effectively processed to the appropriate payor source, such as: Private insurance, Medicare, Medicaid and Self Pay. This position conducts remittance, advice, customer courtesy, and filing.PRINCIPLE DUTIESPrepare and submit clean claims electronically or by paper to various insurance companies.Work directly with the insurance company, healthcare provider, and patient to get claims processed and paid. Process payments received from insurance companies. Review and appeal unpaid and denied claims.Complete departmental filing of EOB’s and reports.Answer patient questions on patient responsible portions, co-pays, deductibles etc., and resolve patient complaints or explain why certain services are not covered.Prepare and send patient statements.Perform various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers, and working with patients to establish budget plans for unpaid balances.Process refunds for patients and insurance companies.Complete credentialing and re-credentialing of providers as needed.Assist with other duties or in other departments as instructed by supervisor.Provide superior customer service to all patients, external customers (office staff of other offices, hospital, community agencies, etc.), and co-workers. Serve as an ambassador of the White House Clinics in all conversations and interactions with these parties.Maintain personal compliance with all White House Clinic policies and procedures (OSHA, HIPAA, Standing Orders, etc.)ACCOUNTABILITYReports to the Team Lead & Billing Manager. Responsible for keeping the Billing Manager informed of billing department activities, and of problems that may arise.TYPICAL PHYSICAL DEMANDSRequires standing or sitting. Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator, and other office equipment. Requires normal range of hearing and eyesight to record, prepare, and communicate appropriate reports. Requires lifting papers or boxes up to 50 pounds occasionally. Requires dexterity to type 60 wpm.TYPICAL WORKING CONDITIONSWork is performed in an office environment. Involves frequent contact with staff and public. Work is stressful at times. Contact may involve dealing with angry or upset people. Occasional overtime required.SALARYStarting at $15.04 per hour, based on experience.The above information is intended to describe the most important aspects of the job. It is not intended to be construed as an exhaustive list of all responsibilities, duties and skills required in order to perform the work. The health center reserves the right to revise or change job duties and responsibilities as the business need arises. Additionally, this job description is not intended as an employment contract, implied or otherwise, and the Center continues to maintain its status as an at-will employer.JOB REQUIREMENTSMinimum Education: High school diploma or GED required. Post-secondary education preferred.Minimum Experience: None required. Some prior billing experience preferred.Required License: NoneKNOWLEDGE, SKILLS & ABILITIESTo perform this job successfully, an individual must have the following knowledge, skill, and/or ability:Knowledgeable of insurance and reimbursement process.Familiarity with HIPAA privacy requirements for patient information.Strong verbal and written communication skills.Basic understanding of ICD-10 and CPT/HCPC billing codes.Proficient in medical terminology.Strong telephone and verbal customer service skills.Detail oriented and ability to prioritize work.