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Senior Billing/ RCM Specialist-Medical

AHS Family Health Center Chicago, IL
  • Posted: over a month ago
  • Full-Time
  • Benefits: Vision, Medical, Life Insurance, 401k, Dental

Department Function: Provides accurate billing and collection of all medical and dental procedures. Receive payments for all procedures and resolve billing/coding errors in a timely manner.

Summary of position: Under the supervision of the Accounting Manager, submit claims to collect payments for all procedures performed. Responsible for billing and collecting Medicare & Medicaid reimbursements, resolving discrepancies, adjusting claims, preparing reports; office and customer coordination. Act as the patient billing expert for front-office personnel.

Essential Functions:

· Review, Edit and Process Medical and Dental claims, as assigned in timely manner.

· Review, Edit and Process claims on hold.

· Review and correct rejections and denials.

· Review, correct and print dental patient statements for mailing.

· Reconcile patient account posting

· Answer communications (phone, mail and email) regarding any billing or claims-related concerns.

· Assist in implementing the day-to-day functions of the Billing department, standardizing the methods in which work will be accomplished.

· Prepare reports for and participate in Revenue Cycle Management (RCM) weekly meetings.

· Orient the staff and patients to billing policies and procedures.

· Reviewing front office billing or coding errors with front office supervisor.

· Count and record cash collected and prepare cash deposit.

· Travel to multiple clinic sites to collect fees.

· Reconcile batches and take deposits to bank.

· Follow cash handling policies and procedures.

· Maintain appropriate documentation and up-to-date records.

· Attend staff and educational meetings regarding billing, planning and implementation.

· Acts as lead in resolving patient billing issues, questions and concerns.

· Post and review payments received to appropriate patient's account.

· Assist in balancing accounts receivable, reconciling statements as needed.

· Assist with the implementation of a new billing system (if/when needed).

· Assist in preparing financial and statistical reports as directed

· Develop and utilize computer reports and output.

· Monitor and collect accounts receivables.

· Data entry for all patient charges and refunds.

· Responsible for computer billing, mailing, recording and collection.

· Data entry on all Medicare Part A&B billing charges and supplies.

· Maintain billing and payment log and complete all crossover billing as necessary or directed.

· Responsible for completing all Medicare billing forms and back-up information required.

· Keeping in contact with the responsible parties involved as to payments due and the status of their accounts.

· Perform additional duties, as assigned.

Qualifications:

  • Billing experience required; Coding certification preferred
  • Some college experience. Bachelor’s degree preferred.
  • Experience with FQHC billing, a plus
  • Bilingual, a plus
  • Highly organized, self-starter
  • Attention to details, data entry, knowledge of EOB, and documentation skills
  • Patience to perform daily functions
  • Customer service skills
  • good work ethic - team player

Physical Requirements and Working Environment:

  • Frequently work in a seated position at a desk, frequent walking.
  • Respond and react immediately to verbal instructions/requests and to auditory signals from equipment and personnel.
  • Physically close and distance visual activities involving objects, persons, and paperwork, as well as discriminate depth and color perception.
  • Perform mathematical calculations for billing transactions and administration.
  • Communicate effectively, both orally and in writing, using appropriate grammar, vocabulary, word usage, and interpersonal skills.
  • Typing and computer skills needed to process and submit claims online, and to communicate with personnel.

Knowledge:

  • Knowledge of medical terminology
  • Knowledge of billing and coding terminology
  • Experience with general office software (Microsoft Word, Excel, Adobe Acrobat)
  • Experience with EHR software (Athena and Dentrix Ascend preferred)

Skills and Abilities:

  • Maintain Good Work Habits:
    • Function within the scope of billing and coding practices
    • Accept constructive criticism with a positive attitude
    • Regular and punctual attendance
    • Show initiative and responsibility
    • Exercise efficient time management
    • Organize and multi task
  • Patient relationships
    • Approach patients in a professional manner
    • Adapt communications to individual’s ability to understand
    • Maintain confidentiality (HIPAA guidelines)
  • Staff relationships
    • Work as a team member
    • Show leadership
    • Follow established policies and procedures
  • Communicate effectively verbally and in writing
  • Use medical terminology appropriately
  • Provide services in courteous and pleasant manner
  • Ability to maintain confidentiality
  • Maintain personal grooming appropriate to the health care profession

AHS Family Health Center

Why Work Here?

Awesome team! Great benefits!

AHS Family Health Clinic is a Federally Qualified Health Center (FQHC) and is a federally funded medical and dental clinic in Chicago serving immigrant families and under-served individuals on the northwest side of Chicago. Locations in Niles and Skokie too.

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