Job description

In accordance with the CMS mandate, all employees must be fully vaccinated against COVID-19 or approved for a medical or religious exemption from vaccination. Prior to commencing employment, individuals must have received at minimum the first dose of a two-dose COVID-19 vaccine, the single dose of a single-dose COVID-19 vaccine, or submitted a written request for medical or religious exemption, per company policy. Individuals who are granted an exemption may be required to undergo weekly testing and regular masking to ensure patient and staff safety.

Accounts Receivable Specialist – Charges/Claims Management

Location: Cumberland Family Medical Center Administrative Building (Remote/Hybrid Schedule Potential Based on Performance)

Cumberland Family Medical Center (CFMC) operates a Federally Qualified Health Center (FQHC) offering a wide range of health and social services at multiple sites throughout Kentucky. We seek employees who support our mission and who actively contribute to our service-driven environment by enhancing the patient experience and improve productivity. CFMC offers compassionate care, uncompromising service and clinical excellence. We offer a collaborative environment with excellent benefits, wage/salary commensurate with experience and relevant work experience.

Job Responsibilities/Duties:

§ Reviews medical records for completion of documentation per CPT guidelines.

§ Effectively utilizes internal electronic information systems and third-party resources to perform job functions.

§ Reviews and assigns CPT, HCPCS and ICD-10-CM codes per FQHC and national coding guidelines. This includes the addition of specific modifiers.

§ Prepares and submits clean claims to various insurance companies either

electronically or by paper, per FQHC and payer requirements.

§ Checks status of submitted claims utilizing various reports and payer systems.

§ Prioritizes the follow-up of rejected or denied claims appropriately and timely.

§ Works aging reports appropriately and timely.

§ Corrects and refiles claims, as appropriate.

§ Assists with questions from patients, clerical staff and insurance companies.

§ Runs reports or compiles data for reporting, as required.

§ Reports suspected or identified billing/payment issues to Director.

§ Performs other duties as required.

§ Participates in educational events, monthly staff meetings and other scheduled activities.

§ Conducts self in accordance with CFMC’s policies, procedures and employee manual.

§ Maintains strictest confidentiality; adheres to all HIPPA guidelines/regulations.

§ Other duties as assigned.

Education: High School Diploma or GED.

Skills/Experience:

§ Knowledge of medical billing procedures and processes.

§ Knowledge of basic medical billing terminology.

§ Knowledge of business office procedures.

§ Ability to operate a computer and basic office equipment.

§ Competency in basic computer functions such as MS Word, Excel and email.

§ Ability to operate a multi-line telephone system.

§ Skill in answering a telephone in a pleasant and helpful manner.

§ Ability to read, understand and follow oral and written instructions.

§ Ability to establish and maintain effective working relationships with patients,

employees and the public.

· Ability to communicate professionally and effectively, orally and by various written methods.

§ Must be well organized and detail-oriented.

§ Physical ability to do light lifting, bending and stretching.

Job Type: Full-time

Pay: $15.00 - $18.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Physical setting:

• Office

Schedule:

• Monday to Friday

Work Location: One location

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