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MEDICAL BILLING ASSOCIATE, FAMILY COST SHARE
Mission
The Warren Center advocates, serves and empowers the children and families impacted by developmental delays and disabilities.
Core Values
Demonstrate The Warren Center’s Core Values:
- We are family focused and work passionately for our families.
- We play well with others, we have fun, find joy and love a good laugh while treating everyone with respect, courtesy and honesty.
- We are curious, we ask why and we seek to understand, to learn and to grow.
- We are solution driven, when we see an issue, we speak up, act and don’t rest until solutions work efficiently and well.
Summary
Reporting directly to the Medical Billing Manager, the Medical Billing Associate, Family Cost Share supports the overall mission of The Warren Center by effectively managing client account balances and ensuring timely collections of outstanding payments. This position will communicate with clients regarding billing questions, payment arrangements, and insurance balances while maintaining professionalism and compassion.
Essential Duties and Responsibilities
To perform this job successfully, an individual must be able to perform the following satisfactorily.
- Create and maintain financial files for all clients, which includes documentation of Family Cost Share statements and insurance data after claims have adjudicated
- Answer incoming billing, claims, account balance and status calls appropriately
- Enter and maintain accurate account/financial information in patient accounting system
- Verify insurance eligibility and/or coverage of all insurance payors while communicating all patient responsibility with clients
- Process and post patient payments including credit card, cash, check, and online payments
- Set up and manage patient payment plans in accordance with company policies
- Document all patient interactions, payment arrangements, and account updates in the billing system
- Escalate unresolved or high-risk accounts according to established procedures
- Coordinate with internal departments to resolve account issues and ensure accurate billing
- Maintain compliance with healthcare regulations, privacy standards, and company policies
- Act as a liaison between patients, healthcare providers, and insurance companies
Reception Practices (backup)
- Post ERA’S and payer responses within 24 hours of receipt
- Process ERA’s/EOBs responses, claims, resolve claims for payment, resolution, and or appeal finalization
- File claims/medical claims either daily, weekly or monthly
- Act as a claims and appeal liaison on behalf of the organization with health plans
- Ensure that all internal and external customers are treated with respect, provide knowledgeable answers, and a welcoming attitude
- Intra-office and organizational communication regarding account data and claims
- And other responsibilities and duties as needed.
Education and Experience
- Required: High school diploma or General Educational Development (GED) diploma
- Required: At lest 3 years’ experience in medical billing and or revenue cycle
- Preferred: Experience with ProviderSoft medical software preferred
Additional Technical Skills, Traits and Knowledge
To perform this job successfully, an individual must be able to perform each qualification satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.
- High energy and passion for The Warren Center’s mission is essential
- Advanced knowledge of O365: including Excel, PowerPoint, Outlook, OneDrive, SharePoint, Teams and Word
- Professional, dependable, and proactive
- Strong interpersonal and communication skills, both verbal and written
- Must possess excellent time management and organizational skills
- Appropriate data and word processing skills
- Ability to use basic office technology equipment
- Demonstrate critical thinking, creativity, problem solving and decision-making skill
- Ability to read, write, perform math and accounting functions, and proof-read
Environment
The physical requirements and work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodation will be made to enable individuals with disabilities to perform the essential functions of the job.
- Frequently required to use hands to finger, handle, or feel, and use keyboard as well as see, talk or hear
- Occasionally required to stand and move around for work
- Moderate stress level
- Long periods of sitting
- The noise level in the work environment is usually moderate
Equal Opportunity Employer
The Warren Center is an Equal Opportunity Employer and we believe in an inclusive culture for all. The Warren Center provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
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