Insurance Biller

Insurance Biller

Job ID: A26-050

Location: Lincoln

About Our Family:

Established in 1978, Alcona Health Center (AHC) is a non-profit, Federally Qualified Health Center dedicated to making a lasting impact in the Northern MI communities we serve, offering medical, behavioral health, dental and pharmacy services. As a member of the AHC family, you will join a team of over 300 coworkers, all devoted to providing quality health care to all residents of our communities, regardless of their ability to pay.

Your Valued Contributions:

Successfully bill patient accounts to the appropriate insurance company for payment, reconcile insurance payments and denials, follow up with insurance companies as needed, receive and resolve patient and insurance company phone calls regarding patient accounts. Interrelates with providers, insurance companies, other health care organizations, the public and the staff.

• Processes claims, both electronic and hard copy timely and accurately, ensuring a timely turnaround of accounts receivable. Maintains proficiency on health centers electronic billing system. Monitors claims for missing information and authorization numbers. Notifies Billing Supervisor if any billing issues are found.
• Responsible for responding to all inquiries, billing denials, other correspondence and phone requests in an efficient, timely, and effective manner. Secures needed medical documentation required or requested by insurances.
• Interacts with patients in order to provide assistance to resolve billing issues. Consistently demonstrates a positive attitude. Fosters teamwork by offering assistance to others. Acknowledges and responds tactfully to all requests. Shows consideration in interaction with patients, family, and other healthcare team members by demonstrating listening skills and cooperation. Communicates and interacts with others in a professional, responsible, cooperative, and positive manner at all times. Adheres to Health Center policies & procedures.
• Completes work within authorized time to assure compliance with departmental standards. Utilizes monthly aging accounts receivable reports to follow up on unpaid claims aged over 30 days.
• Keeps updated on all billing requirements and changes for all insurance types.
• Works with Health Information Department staff to ensure that complete diagnosis/procedure codes and modifiers are reported to insurance carriers as required.
• Screens medical records for completeness of documentation. Interacts and follows up with healthcare providers and staff on all communications related to coding.
• Follows up with insurance carriers timely on unpaid claims until claims are paid or only self pay balance remains. Does not have claims written off for timely filing.
• Processes rejections daily by either making accounts self pay and generating a letter of rejection to patient or correct any billing error and resubmitting claims to insurance carriers.
• Consistently documents all conversations with payers and customers in patient accounts.
• Maintains confidentiality of protected health information at all times.
• Secures needed medical documentation required or requested by insurances and sends in a timely manner.

Required Training & Experience:

• Possesses a current State of Michigan drivers license and valid automobile insurance.
• Word & Excel
• Electronic Health Records system

Were Here For You:

Supporting Balance: As a part of our family, you will work full time (40 hours/week), in our Lincoln location with a starting wage dependent on education and experience. Numerous holidays, generous vacation time and sick days are also offered.

Supporting Your Health: Low deductible Medical, Rx, Vision & Dental insurance at a minimal cost for employees.

Supporting Your Future: Retirement Savings Plan, FSA, Life, AD&D, & Short/Long Term Disability Insurance.

Supporting Your Education: Continuing Education Assistance program. Employment with AHC may also qualify you for student loan forgiveness under the Public Service Loan Forgiveness program.

Ready To Get Started?

Resumes and cover letters are accepted and welcomed in addition to your completed application.

Questions can be sent to pschaedig@alconahc.org

Fighting Against Discrimination:

Alcona Health Center is an Equal Opportunity Employer and Prohibits Discrimination and Harassment of Any Kind: Alcona Health Center is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. All employment decisions at Alcona Health Center are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy, sexual orientation, and transgender status), age, physical, mental or sensory disability, HIV Status, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. Alcona Health Center will not tolerate discrimination or harassment based on any of these characteristics. Alcona Health Center encourages applicants of all ages.

Upon request auxiliary aids and services will be made available to individuals with disabilities. Michigan Relay Center Voice and TTY/TDD 1-800-649-3777. An EOE.