Insurance Payment Posting Jobs in Florida (NOW HIRING)

About FCHC:

Since 1976, Florida Community Health Centers, Inc. (FCHC) has been a health care leader in Florida. We provide comprehensive primary and specialty health care and patient support services through a network of Centers surrounding Lake Okeechobee and across Florida’s Treasure Coast. Our mission is to ensure that everyone in our communities has access to culturally competent, high-quality health care that they can afford. FCHC has locations in Clewiston, Moore Haven, Okeechobee, Fort Pierce, Port St. Lucie, Stuart, Indiantown, Pahokee and West Palm Beach. FCHC’s Corporate Office is centrally located in West Palm Beach, Florida. FCHC has multiple staff members who speak Spanish and Creole, and translation is available for other languages as needed. FCHC has created a “one-stop shop” for patients–providing Pediatric and Adult Primary Care, Dental, OB/GYN and Women’s Health, Infectious Disease, Behavioral Health, Pharmacy, chronic disease education and care management, referral assistance, benefit enrollment assistance and coordination, and telehealth services. Our patients benefit from a “medical home” model, where they may access our extensive array of health care clinicians and services in an atmosphere where they are treated with respect, care, and concern.

Mission

The Mission of Florida Community Health Centers, Inc. (FCHC) is to provide accessible, cost-effective, high-quality, comprehensive health care to all persons in our communities.

Vision

Florida Community Health Centers, Inc. (FCHC) will maintain strong leadership in, and advocate for, the provision of health care services.

FCHC will foster and promote collaborative relationships and will develop partnerships with local, state, and federal public health service agencies and the community in general, to enhance the quality of delivery systems for comprehensive health care. FCHC will be an employer of choice and will demonstrate excellence with a highly trained staff and governing board.

Values

FCHC values Integrity, Compassion, Commitment to serving others (external and internal to the organization), Innovation, Effectiveness (cost and outcome), Efficiency, being Mission-driven, Commitment to serving others internal to organization and Commitment to Excellence.

Primary Duties: Post and balance all Medicaid remittance payments and adjustments on a weekly basis. Summarize payments posted or miscellaneous receipts on remittance advice as received.

Roles and Responsibilities:

• Print EFT lists and check Athena for payment batch print outs, daily.
• Post and balance all Dental remittance payments and adjustments, daily.
• Scan to Athena all third party payments received at corporate office, daily.
• Post and balance bi-weekly payroll deductions against employee account balances.
• Post and balance all SFS payments and adjustments in Dentrix, weekly.
• Use remittance record tool in Athena for unpostables, daily.
• Copy insurance EOB’s for secondary payers and denials requiring additional information and submit daily to biller. Maintain original third party EOB’s by date.
• Documents reason for non-posting of payments received return to accounting for G/L coding & follow up (i.e. bad recovery, payment not ours, etc.) on balancing worksheet, daily.
• Research and prepare refund requests for overpayments on all accounts that incur a credit balance at the time of payment posting.
• Update system notes for payments received on balances at the collection agency, forward to collector to report these payments to the Collection Agency.
• Assists in answering patient and employee phone inquiries.
• Log Medicare bad debt recoveries as received for inclusion in the Cost Report.

QUALIFICATION & REQUIREMENTS:

• High School Diploma
• One (1) year experience handling medical claims processing
• Use of 10-key calculator and CRT accurately by touch
• Good telephone etiquette and organizational skills
• Must be computer literate and have the aptitude to learn new programs as changes occur

Additional Notes:

All qualified candidates must be able to perform the essential functions of this position. This job description is not intended to be all-inclusive. FCHC reserves the right to modify or change the essential functions of this position based on reasonable related business necessity as assigned by your supervisor.

**This job description does not constitute a written or implied contract of employment**.