FQHC Medical Biller (Remote Work with Experience Available) $16-$24/hour

Under the direction of the Revenue Cycle Manager, this position supports, and works closely with Front Desk staff and others within the Billing Department. The Biller/Payment poster will balance time between processing charges within our PM system, sending claims to Clearinghouse and posting EOBs and ERAs while updating account adjustments, working denied claim and reporting on denial trends from various payers. Excellent communication skills are necessary to ensure that detailed information is received verbally and/or in written form from either patients and/or Physicians.

ESSENTIAL FUNCTIONS

* Submit claims to Clearinghouse daily.
* Post payments received.
* Update/balance banking spreadsheet to our PM System (NextGen)
* Process daily pending charges.
* Balance batch ledgers when necessary.
* Run and correct any claim edits.
* Run report to check for missing charges from providers.
* Serve as support and provide training for providers when needed.
* Work daily tasks from E.P.M.
* Stay current and update RCM with any payer specific or FQHC facility information changes.
* Analyze and resolve Revenue Cycle problems effectively by utilizing weekly aging reports to ensure all claims are adjudicated in a timely manner.
* Update patient records when necessary.
* Files and maintains transmittals for billing and auditing.
* Research problem claims, and adjust errors discovered therein.
* Review billing database for trends in claims rejections and resolve these as they occur.
* Review and resolve claim denials.
* Maintain high degree of confidentiality and respect in handling all clinic and client medical information.
* Actively participates in internal quality improvement teams. Works with members proactively to support quality improvement initiatives in accordance with the mission and strategic goals of the organization, federal and state laws and regulations, and accreditation standards.
* Compliance with all state and federal laws and regulations, as they pertain to position including HIPAA, sexual harassment, scope of practice, OSHA, etc.
* Other duties as assigned.

* MINIMUM QUALIFICATIONS

* BA degree or equivalent experience in FQHC billing/posting, insurance, eligibility and/or a combination of both.
* Experience with Arizona Medicaid (AHCCCS), Medicare, and outpatient billing experience or equivalent combination of education preferred.
* Certified Professional Biller preferred
* Knowledge and understanding of FQHC Billing experience preferred.
* Knowledge, understanding and use of NextGen Electronic Health/Administrative Records, Practice Management Systems.
* Demonstrated ability to comprehend new tasks quickly.
* Able to communicate effectively, both orally and in writing
* Demonstrated ability to interact effectively with all levels of personnel and the public.
* Bilingual skills helpful but not required (Spanish/English)

WORKING CONDITIONS/PHYSICAL REQUIREMENTS

This is a remote position and as such a HIPPAA compliant workspace must be maintained and the general working conditions are dependent upon the employee. It is expected that there will be considerable work on desk top computer, considerable sitting, occasional standing and/or bending and light lifting. Minimal contact with exposure to communicable diseases and/or bodily fluids, only when on site. Potential contact with difficult patients.

Work Schedule:

Weekdays (8-5)

[Apply Now](https://www.desertsenita.org/join-our-team/)