Billing Representative I - Self Pay at Primary Health Care Inc

Des Moines, Iowa, United States -

Full Time

Start Date

Immediate

Expiry Date

29 May, 26

Salary

23.25

Posted On

28 Feb, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medical Billing, Dental Billing, Claim Submission, Denial Research, Reporting, Compliance, Confidentiality, CDT Codes, CPT Codes, ICD-10-CM Coding, Managed Care Programs, Medicare Regulations, Medicaid Regulations, Appeals Process, Communication Skills, Interpersonal Skills

Industry

Hospitals and Health Care

Description

Are you looking for an opportunity to do amazing work helping others? You've come to the right place. Let's make a difference! Primary Health Care (PHC) was founded in 1981 by Dr. Bery Engebretsen in Des Moines, IA. Our mission has remained unchanged since that time, to provide healthcare and supportive services to all, regardless of insurance, immigration status, or ability to pay. Based on the needs of the communities we serve, PHC offers a spectrum of medical and dental services including family practice, behavioral health, HIV care and services, and pharmacy. PHC’s Homeless Support Services is the entry point for serving people experiencing homelessness in Polk County. Enabling services are available to help patients with benefits enrollment, case management, transportation, translation, and patient education. We currently have locations in Ames, Des Moines, & Marshalltown. ---------------------------------------- As a Billing Representative - Self Pay you will be responsible for timely and accurate submission and follow-up of medical or dental claims on behalf of Primary Health Care, Inc. Routinely interacts with various internal and external contacts, including management, third party payers, government agencies and fiscal intermediaries to effectively file claims and research and resolve denials. The billing representative is responsible for completing daily and monthly reporting requirements. Ensures compliance with all State and Federal and third-party payer requirements regarding confidentiality and billing. Responds in a timely manner to billing or patient account inquiries. Demonstrates iCare values in daily work. What's Great About this Position? * Work with a small, close-nit team that tackle projects together. * Work a steady, predictable schedule that does not require OT or weekends. * Do meaningful, impactful work that will professionally challenge you; while also, promoting individual growth. * Earn 4 weeks of PTO throughout your first year of employment and enjoy paid holidays as well. * Continue to develop your skills and grow your career through PHC’s training opportunities including: PHC University, Emerging Leaders, and medical and dental assistant training programs. What You Will Do 1. Submits all medical or dental clinic charges (i.e., dental/medical coding, pay codes, dental documentation submission, etc.) and edits daily, checking accuracy and ensuring compliance with established goals. 2. Researches returned dental/medical claim denials to identity billing issues. Obtains the corrected claim information and resubmits the claim, documenting account activity in the appropriate systems, calling third party payers, and monitoring billing reports to follow-up on unpaid submitted claims. 3. Completes daily and monthly reporting requirements including closing. Completes secondary dental/medical billing when necessary. 4. Checks for compliance with all State and Federal patient financial service issues, including, but not limited to patient-rights such as confidentiality and third party payers. Qualifications You Need to Bring Required: * High School Graduate or GED. * Minimum of 1 year experience in dental or medical patient billing (as is relevant to assigned position). * Experience working with and knowledge of CDT/CPT codes requiring documentation for all dental/medical insurance carriers. * Understanding of CDT/CPT and ICD-10-CM coding with knowledge of managed care programs and dental/medical billing requirements. * Experience working with and understanding of dental/medical insurance contractual agreements, Medicare and Medicaid regulations and appeals process. * Strong technical billing knowledge. * Excellent written and verbal communication skills. * Basic computer skills with proficiency using Microsoft Office applications. * Excellent interpersonal and customer service skills. Preferred: * Experience using EPIC software, Dentrix software, as well as Centricity software for billing. * Significant experience in all aspects of billing with a clinical setting. * Community Health Center experience. * Proficiency in Microsoft office and computerized patient accounting applications. * Bilingual in English and Spanish. We Take Care of Our People Your experience and skills determine your base pay. The hiring range for this position is typically $15.50 - $19.38 per hour. Candidates with extensive work experience related to this position may be considered for additional compensation up to the pay grade maximum of $23.25 per hour. PHC also offers a comprehensive benefits package, including: * Generous PTO accrual (equal to 4 weeks at end of 1st year) plus paid holidays * License/certification fee reimbursement * Paid time off for continuing education & continuing education reimbursement * Tuition reimbursement program * 401k with company match * Medical insurance - PHC Pays, on average, 80% of medical premiums for all plan types (employee, employee + family, etc.) * Dental insurance * Vision insurance * Life & disability insurance * Flexible spending & health savings accounts * Supplemental accident & critical illness insurance * Discounts on pet insurance Visit https://phciowa.org/careers [https://phciowa.org/careers] for a summary of PHC’s benefits. Join the PHC Community | PHC Talent Community [https://workforcenow.adp.com/mascsr/default/mdf/recruitment/recruitment.html?cid=1a81e9ec-0004-4bf2-aadc-f982de3a9509&ccId=19000101_000001⟨=en_US&selectedMenuKey=CurrentOpenings] | Facebook [https://www.facebook.com/primaryhealthcareiowa] | Instagram [https://www.instagram.com/phciowa/] | LinkedIn [https://www.linkedin.com/company/primary-health-care-iowa/mycompany/verification/] | TikTok [https://www.tiktok.com/@phciowa?_t=8Wy7yQMltsI&_r=1&fbclid=IwAR3eYN31kfbNlQj1vmHoMlkGwCN5oZkmlwmxOs1OSAGcM7pdbykWuiulBqs] Monday - Friday, 8:00am - 5:00pm 40

Responsibilities

The Billing Representative is responsible for the timely and accurate submission and follow-up of medical or dental claims on behalf of Primary Health Care, Inc., which includes researching and resolving denials through interaction with payers and agencies. This role also requires completing daily and monthly reporting requirements while ensuring compliance with all State, Federal, and third-party payer confidentiality regulations.