Bronx Community Health Network

Job Description

Position Title: Medical Biller/Coder

Supervisor: Chief Medical Officer

Job Type: Full-Time (37.5 hours weekly)

Department: Clinical Administration

Schedule Shift: Monday- Friday 9:00am-5:30pm and weekends as needed.

FLSA: Non-Exempt

Salary: $55,000 - $67,000

Come join our amazing team of dedicated healthcare workers!

Bronx Community Health Network (BCHN) was founded in 1996 to ensure that the socio-economically depressed and medically underserved residents of the Bronx have access to high quality and comprehensive health care services, Bronx Community Health Network (BCHN) is a not-for-profit, community-based organization and Federally Qualified Health Center. The organization provides a wide range of comprehensive, coordinated primary medical, oral, mental health care and related diagnostic, pharmacy, social support and enabling services for medically underserved/uninsured residents.

BCHN mission: To improve the health of people and families in the Bronx; provide access to affordable, quality health care, especially for uninsured persons; promote disease prevention, early treatment and healthful lifestyles; and obtain financial and other resources for programs and services.

About the Role: The Medical Biller/Coder is instrumental for reducing claim denials and enhancing revenue cycle efficiency. Responsible for posting insurance payments and patient payments into the billing system, posting declines, charge corrections, preparation of daily deposits and reconciliation/audit of posted transactions.

• Prepare and submit claims for medical services provided by BCHN.
• Validate insurance information, authorizations, and other necessary details prior to submission.
• Work directly with insurance companies, healthcare providers, and patients to get a claim processed and paid in a timely manner.
• Collaborate with the finance team, providers, and management team to rectify issues contributing to denials, billing inquiries, discrepancies, and process improvements.
• Reviewing and appealing unpaid/denied claims, handling collection on unpaid accounts.
• Experience in negotiating and managing contracted rates with insurance carriers for optimal reimbursement.
• Performs other duties, as assigned.

Qualifications and Skills

• 2 – 3 years of Medical Biling and Coding. (Required)
• High School or equivalent (Required)
• 1-2 years of Athena EMR experience and payment management software.
• Healthcare Compliance Certification. (Required)
• Certified Professional Coder (CPC)
• Certified Professional Biller (CPB)
• Experience in billing for Healthcare Programs.
• Medicare/Medicaid/Managed care experience. Ensuring compliance with government regulations and optimizing reimbursement. (Preferred)

Knowledge, Skills, and Abilities Required:

• Knowledge of fee schedule changes for various insurance carriers.
• Excellent communication skills
• Strong level of emotional intelligence, communication, time-management, and negotiation skills.
• Deadline and detail-oriented
• Strong computer skills in data entry, and knowledge of Microsoft Office.

Bronx Community Health Network is an equal opportunity and affirmative action employer committed to diversity and inclusion in all aspects of recruiting and employment. All qualified individuals are encouraged to apply and will receive consideration without regard to race, color, gender, gender identity or expression, sex, sexual orientation, transgender status, gender dysphoria, national origin, age, religion, disability, military, and veteran status, martial or prenatal status, citizenship status, genetic information or any other factor which cannot lawfully be used as a basis for an employment decision.