Job Description

Job Description

Job Description

Description:

Do you want to be part of a leading, patient-centered organization where professionals come together to improve access to quality health care for all? At Oak Orchard Health, you can grow your career with the fulfilment and satisfaction of knowing that your work is making a difference in someone’s life. We have 8 medical offices located in communities throughout Western NY and we continue to expand and recruit top talent with our mission to ensure everyone has access to affordable, quality health care. Our diverse, highly skilled professionals are the reason for our success, from physicians to nurses to administrators and support personnel. If you’re passionate about serving all with excellence, equity, inclusion, respect, and dignity, we think you’ll fit right in! Diverse and bilingual candidates are encouraged to apply.

We offer:

• Tuition Reimbursement and Student Loan Forgiveness (PSLF) Eligible!
• Flexible schedule that promotes a healthy work life balance!
• Competitive wages!
• Comprehensive benefit package (health/vision/dental) that starts the first of the month after your hire date!
• Retirement Plan 403(b) with a competitive company match
• Organizational support of continuing education and professional development!
• Company paid life Insurance!
• Generous PTO package that includes Vacation time, Sick time, Personal Days, Floating Holidays, and Company paid holidays!

Responsible for managing the revenue cycle operations and liaison with the third-party billing organization to ensure proper processing of all payer claims. This would include research for accuracy, analyze reports, follow through actionable reports, and oversee process of appropriate billing. Oversight of accounts receivable, payment posting, reconciliations, reviewing patient statements, payment arrangements across organization, sliding fee management, etc. Oversight of all activities related to billing at all locations, provides support to the providers and front office staff.

Job Responsibilities

• Act as the liaison for the third-party billing company
• Manage Accounts Receivable related to all claims and ensure reconciliation with the general ledger. This involves working closely with the Senior Accountants. Analyzes reports and initiates immediate follow-through with third party billing organization for correcting identified billing problems.
• Provides updates on accounts/claims to leadership, as appropriate and requested.
• Ensure timely resubmission of claims within client assigned status buckets. Perform weekly audits to ensure proper billing/coding on claims, provide reports to Chief Financial Officer and Leadership, correct claims appropriately and assist in re-training.
• Assist in the development and implementation of billing policies and procedures.
• Review and approve weekly patient statements before being processed/billed. Participate meetings with third party billing organization and insurance payer representatives, as needed,
• Stay apprised with billing/coding updates and communicate updates to leadership and clinical staff, providing training if needed.
• Prepare reports as needed for audits.
• Assist the front office, patient representatives and providers as needed. Provide training and support.
• Works with credentialing team to ensure proper processes are in place for accurate billing for par providers.
• Manage vendors related with revenue cycle operations.
• Manage staff and provide guidance and training, as applicable.
• Travel to other locations is required
• Other duties as assigned

Skills I Qualifications

• High attention to detail and extremely organized Proficient with MS Office, specifically excel
• Excellent verbal and written communication skills.
• Excellent organizational skills and attention to detail.
• Ability to comprehend, interpret, and apply the appropriate sections of applicable laws, guidelines, regulations, ordinances, and policies.
• Excellent time management skills with a proven ability to meet deadlines.
• Strong analytical and problem-solving skills.
• Strict adherence to confidentiality of all information related to Health Center patients and organizational information.
• Ability and willingness to travel between sites as needed

Education I Experience

• Associate Degree in Medical, Medical Office Assistant or similar accounting degree, preferred.
• Experience with Federally Qualified Health Center billing practices.
• 5+ years' experience working with coding and billing, required.
• Certified Medical Billing Specialist/Medical Coder highly preferred.

Comprehensive Benefits:

• Health / Dental /Vision Insurance
• Retirement Plan
• Tuition Reimbursement
• Public Service Loan Forgiveness
• Generous Time Off

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