Billing Specialist

Billing Specialist

Cornerstone Care, a Federally Qualified Health Center (FQHC), with locations throughout Southwestern Pennsylvania, is seeking Billing Specialists to join our team. This is a fully remote role, but some onsite work may be required. Office location can be based on any of the following sites: Sto Rox, Hilltop, Greensboro, Waynesburg or Burgettstown.

POSITION SUMMARY: Responsible for preparing and submitting claims to appropriate insurances, working outstanding and rejected claims, corresponding with patients, reviewing and analyzing accounts receivable balances, and other duties as assigned to support the Billing Department.

JOB DUTIES AND RESPONSIBILITIES:

• Prepares and submits claims to insurance companies ensuring accuracy and completeness.
• Reviews, analyzes, and follows up on unpaid claims to collect accounts receivable timely.
• Reviews documentation in the patient's medical record to identify diagnosis, procedures, and other necessary information to complete billing the encounter.
• Handles patient phone calls, takes patient payments, sets up payment plans, reviews and researches patient accounts for purposes of identifying billing trends and maintaining a clean AR aging.
• Educates and assists patients with the completion and submission of sliding fee discount program (SFDP) applications.
• Reviews and recommends for approval SFDP applications and assists with the renewal applications.
• Identifies and populates account demographics.
• Attends staff meetings as requested by the Director.
• Assists in other areas as needed within Billing Department.