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Central Billing Representative I
Ashbaugh Beal
Central Billing Representative I responsible for maintaining a high-performance work environment and assisting with billing, collection, and reporting of patient accounts.
16d ago
Junior (1-3 years)
Full Time
Albuquerque, NM
Onsite
Company Size
22 Employees
Service Specialisms
Commercial Litigation
Construction Law
Corporate/Securities Law
Insurance Recovery
Intellectual Property
Property Damage Solutions
Sector Specialisms
Construction
Real Estate
Environmental
Employment
Property Damage
Corporate/Securities Transactions
Insurance Recovery
Commercial Litigation
Role
What you would be doing
billing adjustments
payment reconciliation
account review
eob review
debt management
credit balance
- Provide education on encounter batches as appropriate to minimize error reoccurrence and support maximum reimbursement;
- Review of site batched patient encounters for charge and payment accuracy, as needed including encounter rate and or other necessary billing adjustments;
- Initiate & complete account adjustments to correct account balance and/or comply with contractual and sliding fee scale requirements;
- Complete bad debt process based on FCCH procedure;
- Coordinate electronic patient statements on a monthly basis;
- Review credit balance reports and prepare refund requests for overpayments;
- follow-up on all assigned payer type accounts to affect collection of patient and insurance account balances;
- Meet all EOM (end of month) closing activities and deadlines;
- Review and resolve all EOB’s including those without payment to initiate clean claim resubmission and claim reimbursement;
- Participate in billing Helpdesk customer support, by receiving, responding and documenting all incoming account inquiries including electronic, telephone and written correspondence related to billing issues;
- Monitor and review site unbilled encounters and assist when necessary to meet mutual daily and weekly deadlines;
- Communicate payment terms and establish agreed-upon payment plans for overdue patient and insurance account balances. Monitor payment compliance with terms of established plans with patients and insurance plan provider representatives;
- Assist Site Biller Representatives and cover and perform their functions in their absence.
- Document activities on accounts, including corrections and collection activities in the practice management system and additional MS Word software tools provided;
- Record NSF checks returned by bank and notify patient of adjusted balance due;
- Evaluate uncollectible patient and insurance accounts and make recommendations concerning account write-offs and/or placement as bad debt status;
- Assist and train other staff members as requested in the areas of registration and billing;
- Post payments received and reconcile system postings to lockbox &/or EOB (explanation of benefits) totals;
- Resolve unapplied cash, errors in cash reconciliation and changes in payment allocation to insurance payer types;
- Review assigned outstanding A/R to identify problems with various insurance payers (-i.e. Medicare, Medicaid, Commercial, Contracts and Self-Pay). Perform all routine and special
What you bring
high school degree
problem solving
billing certificate
certified coder
cpt coding
attention to detail
- High school degree or GED;
- Ability to work with others in a problem solving and team environment and to work alongside staff as needed;
- Knowledge of Medicare and Medicaid guidelines;
- Billing Certificate, the result of graduation from a certified billing school;
- Machines, Tools, Equipment required to be operated: Capable of using office machines and personal computers for word processing, data entry and spreadsheet applications.
- PREFERRED LICENSE/CERIFICATIONS
- Ability to work on a variety of assignments concurrently within established deadlines;
- Visual Acuity, Hearing, and Speaking: Must be able to read a computer monitor and outputs accurately. Must be able to clearly and accurately communicate for work, safety and compliance.
- Demonstrate ability to edit & submit insurance claims for fee for service and prospective payment system reimbursement;
- Experience in a multispecialty clinic setting;
- Working knowledge of CPT, Dental ADA, DSM V and ICD-10 preferred;
- Ability to communicate effectively, both orally and in writing;
- Environment/Working Conditions: Work is mostly inside an office in a controlled environment. Normal office safety precautions and practices are required. Position requires travel throughout the Albuquerque metropolitan area. Work regularly scheduled Monday-Friday, although weekends and evenings may be required to meet with members of the Board of Directors and meet deadlines.
- Knowledge of HIPAA as it relates to medical, dental & behavioral health billing;
- General knowledge of UB04, HCFA1500 and Dental ADA Electronic and Paper claim forms;
- Certified Coder (medical and/or dental);
- Ability to work independently with minimal supervision;
- General knowledge of computerized practice management systems, preferably Cerner PWPM Practice Management System, Cerner Electronic Health Record System and Dentrix Dental billing and E H R;
- Ability to communicate with tact and diplomacy with diverse groups of people including staff, providers, and insurance companies on behalf of the organization. Ability to display sensitivity to the patient population being served;
- Proficient with computers and MS Windows software programs;
- Knowledge of Federally Qualified Health Care billing and reimbursement preferred;
- Knowledge and familiarity with compliance program. Cooperate fully and comply with laws and regulations;
- Ability to respond effectively to sensitive inquiries or complaints;
- One to three years data entry and billing and claims experience in healthcare setting or FCCH billing externship. Education or knowledge may be substituted for the experience requirement;
- Position requires a high level of accuracy and attention to detail;
- Physical Effort and Dexterity: Good dexterity to operate personal computer and office equipment. Occasional lifting and carrying related to office duties.
- Coder and/or Billing Certificate may be substituted with demonstrated proficient knowledge of procedural CPT & Dental Coding and/or ICD-10 diagnosis coding;
- Ability to learn billing and collection system within federally chartered community health centers (CHC) and RHI/UHI programs;
- MINIMUM EDUCATION AND EXPERIENCE
Information not given or found
Interview process
Information not given or found
Visa SponsorshipInformation not given or found
Security clearance- criminal records check
Company
Overview
- Founded with a focus on resolving complex business disputes and guiding clients through financial restructuring.
- Has carved out a niche in providing tailored legal solutions for clients facing high-stakes challenges.
- Offers a full spectrum of services for businesses involved in construction, real estate, and other high-risk sectors.
- Specializes in navigating clients through complicated commercial litigation, mergers, acquisitions, and bankruptcies.
- Regularly works with both public and private sector clients, offering strategic counsel for financial turnaround and risk management.
- Key areas include construction law, business litigation, corporate restructuring, and real estate transactions.
- Known for its practical approach and deep understanding of industry-specific regulations, making it a trusted advisor in complex matters.
- Has developed a reputation for handling cases that involve large-scale projects and transactions with high stakes.
- A unique blend of legal and financial expertise that allows them to provide integrated solutions across industries.
- Delivering high-quality legal services with integrity and professionalism.
- Commitment to client service and building long-term relationships.
- Innovation and adaptability to meet client needs and market demands.
- Teamwork, collaboration, and fostering a positive workplace culture.
- Providing a respectful and supportive environment for employees to grow professionally.
- Committed to reducing environmental impact and enhancing sustainability practices.
- Focus on energy-efficient practices and reducing waste in office operations.
- Adopting sustainable technology and practices for document management and energy usage.
- No clear net-zero target date or measurable sustainability goals published on official platforms.
- Values diverse perspectives to foster an inclusive work environment.
- Creates a workplace where all employees are treated with respect and given equal opportunity.
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