Whole Family Health Center
Whole Family Health Center
Whole Family Health Center — 1995 жылдан бері Флорида штатындағы Treasure Coast өңіріне қызмет көрсетіп келе жатқан коммерциялық емес қоғамдық денсаулық сақтау орталығы әрі федералдық талаптарға сай денсаулық сақтау орталығының үлгісіндегі ұйым. Оның біріктірілген медициналық көмек үлгісі ересектер мен балаларға арналған алғашқы медициналық-санитарлық көмекті, әйелдер денсаулығын, мінез-құлық денсаулығын, жұқпалы аурулар бойынша қызметтерді, қатерлі ісікке скрининг жүргізуді, медициналық көмекті басқаруды, әлеуметтік қызметтерді, мобильді клиникаларды, сондай-ақ орталықтағы дәріхана мен зертхана қызметтерін біріктіреді. Ұйым The Pierone Research Institute арқылы клиникалық зерттеулерге, соның ішінде NIAID-тің COVID-19 сынақтарына да қатысады. Whole Family Health Center жалпы қауымдастыққа, әсіресе ресурстарға қолжетімділігі шектеулі адамдарға, жанашыр әрі қолжетімді медициналық көмек көрсетуге бағытталған.

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.

Сипаттама

  • 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

Талаптар

  • 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

Артықшылықтар

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

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