Lowell Community Health Center

Community health center delivering primary care

Medical Biller

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours

Full-timeLowell, MA, USANo salary listedIn-person

About the Job

Requirements

A high school diploma or equivalent is required.
Previous data entry experience is required.
Data entry, computer, and telephone skills are required.
The ability to work with deadlines and independently as well as part of a team is required.
Medical billing experience is desired but not required.
Knowledge of CPT-4, HCPCS, ICD-9 codes, and medical terminology is a plus.
The ability to maintain confidentiality and adhere to HIPAA guidelines and regulations is required.
The position requires sitting and standing in a normal office environment and manual dexterity for using a computer keyboard.

Responsibilities

Review encounter forms initially and verify their completeness and accuracy.
Communicate encounter inaccuracies to other departments within LCHC as necessary.
Track incoming and outgoing encounters.
Enter charges from encounter forms.
Review end-of-day reports and make corrections.
Post insurance and patient payments in a timely manner.
Prepare and process manual insurance claims.
Respond to patient inquiries and direct them to appropriate personnel as necessary.
Interpret insurance benefits for patients.
Prepare, review, and send patient statements.
Evaluate patients' financial status and establish budget payment plans.
Follow and report the status of delinquent accounts.
Review accounts for possible assignment and make recommendations to the Director of Patient Accounts.
Prepare information for the collection agency.
Participate in educational activities and staff meetings.
Maintain strict confidentiality and comply with HIPAA guidelines and regulations.
Perform other duties as assigned.

Desired Qualifications

Medical billing experience.
Knowledge of CPT-4, HCPCS, ICD-9 codes, and medical terminology.

Job Description

SUMMARY
Support daily functions within the Patient Accounts department ensuring accurate and timely billing and
posting of insurance and patient payments.
ESSENTIAL DUTIES AND RESPONSIBILITIES include but are not limited to the following:
• Initial review of encounter fonns
• Review encounters for completeness and accuracy
• Communicate inaccuracies to other departments within LCHC as necessary
• Encounter tracking; both in-coming and outgoing
• Charge entry of encounter forms
• Review end of day reports for corrections
• Post insurance and patient payments on a timely basis
• Prepare and process manual insurance claims
• Respond to patient inquiries; direct to appropriate personnel as necessary
• Provide patients with insurance benefit interpretations
• Prepare, review and send patient statements
• Evaluate patient's financial status and establish budget payment plans. Follow and report status of
delinquent accounts.
• Review accounts for possible assignment and make recommendations to the Director of Patient
Accounts. Prepare infonnation for the co11ection agency.
• Participate in educational activities and staff meetings.
• Maintain strictest confidentiality; adhere to all HIP AA guidelines/regulations
• Other duties as assigned
SUPERVISORY RESPONSIBILITIES: This position has no supervisory responsibilities.

Qualifications

QUALIFICATIONS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
The listing below represents the knowledge and skill required for this position. Must have the capability to
work with deadlines, work independently as well as part of a team.
EDUCATION
High School diploma or equivalent
EXPERIENCE/SKILLS:
Previous data entry experience required. Medical billing experience desired but not required. Previous
Knowledge ofCPT-4, HCPCS, JCD-9 codes, medical tenninology a plus. Data entry, computer, and phone
skills required. Must be well organized and detail-oriented.
PHYSICAL DEMANDS:
Requires sitting and standing associated with a nonnal office environment. Manual dexterity needed for
using a computer keyboard. This description is intended to provide only basic guidelines for meeting job
requirements. Responsibilities, skills and working conditions may change as needed.

Additional Information

All your information will be kept confidential according to EEO guidelines.

About the Company

Lowell Community Health Center

Community health center delivering primary care

Lowell Community Health Center provides primary care and related health services to about 50,000 residents of Greater Lowell, with OB-GYN, behavioral health, pharmacy, eye care, dental, lab and radiology through a partner hospital, all housed in one renovated facility. It treats patients regardless of ability to pay, funding 76% of its income from insurance reimbursements and fees, with the rest from grants and gifts. More than 90% of patients are low income and 46% speak a language other than English, and the center aims to reduce health disparities and improve well-being through culturally competent care. Its differentiators are offering comprehensive, integrated services under one roof without denying care due to financial barriers and a long-standing presence in the community.

Company size: 201-500
Company stage: Grant
Total funding: $500K
Headquarters: Lowell, MA
Founded: 1970

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