Fair Haven Community Health Care - New Haven, CT

posted 4 months ago

Full-time - Mid Level
New Haven, CT
Ambulatory Health Care Services

About the position

Fair Haven Community Health Care (FHCHC) is a forward-thinking, dynamic, and exciting community health center that provides care for multiple generations at nearly 140,000 office visits in 19 locations. Overseen by a Board of Directors, the majority of whom are patients themselves, we are proud to offer a wide range of primary and specialty care services, as well as evidence-based patient programs to educate patients in healthy lifestyle choices. As we grow and are able to bring high-quality health care to more areas that need access, we continue to put our patients first in everything we do. The mission of FHCHC is to improve the health and social well-being of the communities we serve through equitable, high quality, patient-centered care that is culturally responsive. For over 50 years, we have been a health care leader in our community focused on providing excellent, affordable primary care to all patients, regardless of insurance status or ability to pay. Fair Haven is proud to have a diverse and motivated team of professionals who are constantly seeking ways to enhance and improve the health and well-being of all patients. We believe that everyone should have access to high-quality medical and dental care, regardless of ability to pay. The Medical Billing Accounts Receivable Supervisor will be responsible for minimizing receivables while maximizing revenues on a collections-focused team. This position reports to the Sr. Director of Clinical Operations and focuses on building direct communication and collaborative relationships with insurance companies and patients. The supervisor demonstrates a service orientation which consistently aims at exceeding client expectations and contributes positively to the greater working environment. The successful candidate will direct and manage the daily operation of the Medical Billing Specialist team to ensure the posting and collections of all billable encounters are completed in an accurate and timely manner. The supervisor will facilitate all processes, policies, and procedures and be responsible for overall team motivation and effectiveness.

Responsibilities

  • Direct and manage the daily operation of the Medical Billing Specialist team.
  • Ensure the posting and collections of all billable encounters are completed accurately and timely.
  • Manage transitions to changing billing environments through each payor source including Medicaid, Medicare, Commercial, and Private Pay.
  • Ensure that current fee schedules and billing manuals are being used for all payers billed while adhering to all organizational billing policies and procedures.
  • Develop monitoring and tracking systems for billing and provide detailed bi-weekly reports.
  • Oversee monthly audits for departmental efficiency and accuracy related to payment and collections accuracy and integrity.
  • Monitor aged accounts bi-monthly and work with staff to address oversights or problems within payers.
  • Ensure staff follow the process to work unpaid claims and manage backlogs promptly.
  • Review established accounts for bad debt write off.
  • Maintain EHR super user status and participate in user groups, upgrades, and staff training as needed.
  • Ensure patient confidentiality and provide patients with needed information as requested.
  • Hire new billing staff as necessary and complete performance evaluations as required by FHCHC policy.
  • Develop and maintain training processes and written guides for both new hires and existing staff.
  • Assist in reviewing updates to FHCHC Billing Policies bi-annually and as necessary.
  • Participate in team meetings.

Requirements

  • High School Diploma and/or GED equivalent required.
  • Associates Degree preferred.
  • Minimum of three (3) years of directly related healthcare experience required, particularly in a professional billing environment.
  • Minimum of one (1) year supervisory experience preferred.
  • Solid knowledge of medical terminology, medical billing, A/R systems, ICD-9 and CPT coding, HCPCS and payer registration and verification processes required.
  • Strong communication and leadership skills required.
  • Knowledge and proven experience in non-profit Federally Qualified Health Centers is strongly preferred.

Nice-to-haves

  • Experience with electronic health records (EHR) systems.
  • Familiarity with healthcare compliance regulations.
  • Ability to work in a fast-paced environment.

Benefits

  • Dental insurance
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