Billing Navigator

Job Description

Job Description

Description:

About Jordan Valley Health:

Jordan Valley Health (JVH) is a mission-driven organization dedicated to improving the health of individuals and families in underserved communities. We provide comprehensive healthcare services including primary medical, dental, vision, and behavioral health. Our mission is simple: Improve our community’s health through access and relationships. By working collaboratively with partners and continually innovating, JVH strives to be a leader in providing essential healthcare for the underserved, ensuring everyone in our community has access to quality healthcare.

Job Summary:

The Billing Navigator is responsible for providing a thorough and accurate collection of patient accounts. To provide support for the Community Health Workers (CHWs) as needed in the attainment of stated goals. This contributes to the financial stability of healthcare facilities, allowing them to continue providing quality care to patients.

Key Responsibilities:

• Assesses, tracks, and collects patient account balances.
• Assist in verifying eligibility for billing purposes.
• Performs insurance and billing functions including verifying patient account information to insurance program specifications.
• Follow-up on balances due from Payers
• Ability to understand ICD-9, ICD-10 and CPT coding.
• 6Electronic billing function, process charges, payments denials and adjustments.
• Performs insurance denial resolution.
• Works closely with the Community Health Worker (CHW) team to assure accurate and timely billing for Presumptive Medicaid, Newborn pending and Temporary Medicaid for Pregnant Women.
• Attains all agreed goals and objectives within specified time frames, as part of the Clinic’s overall mission.
• Responsibly follows the Clinic Exposure Control Plans/Bloodborne and Airborne Pathogens.
• Demonstrates respect and regard for the dignity of all patients, families, visitors and fellow employees to ensure a professional, responsible and courteous environment.
• All other duties as assigned.

Benefits Overview:

• Medical and Prescription Drug Coverage: Three comprehensive plan options (Buy-up, Base, and High Deductible) through UnitedHealthcare's Choice Plus network, covering various deductibles and out-of-pocket limits. Includes access to telemedicine services via Teladoc.
• Health Savings Account (HSA): Available for employees in the High Deductible Plan with employer contributions and tax advantages.
• Flexible Spending Account (FSA): Options for both healthcare and dependent care FSAs, allowing pre-tax contributions for qualified expenses.
• Dental and Vision Coverage: Dental insurance through Cigna’s DPPO network and vision coverage through EyeMed’s Insight network.
• Retirement Plan: Pre-tax and Roth 403(b) retirement plans with a 5% employer match starting after 30 days of employment.
• Life and Disability Insurance: Basic Life and AD&D insurance provided at no cost, with the option to purchase additional coverage. Long-term and short-term disability insurance are also available.
• Employee Assistance Program (EAP): Free confidential support for personal and professional challenges, including counseling and crisis intervention.
• Additional Voluntary Benefits: Options for critical illness, accident, hospital care, and pet insurance through MetLife.
• Pay on Demand Available

• Nine paid holidays per year.

Health Requirements:

All employees are required to provide proof of vaccination for Flu, Hepatitis B and Tuberculosis (TB) as part of our commitment to maintaining a safe and healthy workplace.

Application Process:

Interested applicants should submit a resume and cover letter through the JVH career portal at Careers & Education - Jordan Valley. Applications will be accepted on a rolling basis until the position is filled.

Jordan Valley Health is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.

Qualifications:

• High school diploma or GED preferred
• Some math, accounting, ICD-10, and an understanding of patient care skills preferred.
• Two years’ medical office reimbursement experience