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Whole Family Health Center
Whole Family Health Center
51 – 200 Angajați
Asistență medicalăNonprofit
Whole Family Health Center este un centru comunitar de sănătate nonprofit și un centru de sănătate calificat federal, de tip similar, care deservește zona Treasure Coast din Florida din 1995. Modelul său integrat de îngrijire reunește asistența medicală primară pentru adulți și copii, sănătatea femeii, sănătatea comportamentală, servicii pentru boli infecțioase, screening pentru cancer, gestionarea îngrijirii, servicii sociale, clinici mobile, precum și servicii de farmacie și laborator disponibile la sediu. Prin The Pierone Research Institute, organizația participă și la cercetare clinică, inclusiv la studiile NIAID privind COVID-19. Whole Family Health Center se concentrează pe furnizarea unor servicii medicale pline de compasiune și accesibile pentru comunitatea largă, acordând o atenție deosebită persoanelor care au acces limitat la resurse.
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Locurile de muncă ale companiei

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.

USStatele Unite ale AmericiiFLFloridaLa sediuNormă întreagăNivel mediuSeniorLimbă Obligatorie: englezăGeneralSpecialist în facturare

Descriere

  • 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

Cerințe

  • 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

Beneficii

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

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