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Whole Family Health Center
Whole Family Health Center
51 – 200 Employees
HealthcareNon-profit
Whole Family Health Center is a nonprofit community health center and federally qualified health center look-alike serving Florida’s Treasure Coast since 1995. Its integrated care model brings together adult and pediatric primary care, women’s health, behavioral health, infectious disease services, cancer screening, care management, social services, mobile clinics, and on-site pharmacy and laboratory services. Through The Pierone Research Institute, the organization also participates in clinical research, including NIAID COVID-19 trials. Whole Family Health Center focuses on compassionate, affordable healthcare for the wider community, with particular attention to people who have limited access to resources.
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Billing and Collections Specialist - Fort Pierce, Florida (Onsite)

Manage healthcare billing and collections across claims, denials, eligibility verification, and patient accounts. Support Medicare, Medicaid, commercial insurance, contract billing, and self-pay operations.

USUnited StatesFLFloridaOn-siteFull-timeMiddleSeniorEnglish RequiredBilling SpecialistGeneral

Description

  • Independently manage Medicare, Medicaid, local contract, commercial insurance, and self-pay accounts in line with CMS, AHCA, HRSA, and payer requirements
  • Submit daily charges for Athena processing
  • Track workflow dashboards and claims worklists to ensure timely follow-up and compliant appeals
  • Analyze denial reports, identify trends and process improvements, and present findings to the Business Services Manager for action planning
  • Manage special contract billing and eligibility verification for programs including Ryan White and Project Response
  • Ensure monthly claims are submitted according to payer requirements
  • Verify insurance eligibility from appointment schedules and help resolve discrepancies
  • Respond to patient calls and explain insurance and billing matters
  • Post monthly laboratory charges
  • Review and update patient accounts according to sliding-fee eligibility
  • Complete additional duties and responsibilities as assigned

Requirements

  • High school diploma or GED is required
  • A college degree is preferred but not required
  • Billing and coding certification is preferred
  • At least three years of medical billing and coding experience
  • At least two years of experience with self-pay and third-party collections
  • FQHC experience is a plus
  • Strong oral and written communication skills
  • English-Spanish or English-Creole bilingual ability is preferred but not required
  • Level 2 background clearance is required
  • Documentation of Tdap, MMR, and hepatitis B immunizations, plus either a history of chickenpox or varicella vaccination, is required
  • A PPD test is completed once upon hire when applicable to the position

Benefits

  • Occasional travel between locations may be required
  • Whole Family Health Center is an equal opportunity employer

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