Billing and Insurance Administrator

Role Overview

• Maintain accurate and up-to-date insurance information in patient records, ensuring proper documentation and timely updates.
• Utilize Availity to research, correct, and complete payment posting aligning with EM.
• Communicate with appropriate agencies and internal contacts to obtain necessary insurance details or resolve eligibility/payment issues.
• Monitor and resolve items in all billing work queues for denials/follow up/claim Edit/credit balances and retro review.
• Run reports and follow up on bad debt.
• Assist with record keeping, sorting, and defining mail and emails.
• Assist Front Desk/Scheduling with insurance-related questions.
• Provide customer service to patients inquiring about their accounts and process requests for refunds.
• Assist with provider credentialing and payer enrollment processes, including data entry and documentation management.
• Assist and monitor Facility/Provider credentialing for renewals in coordination with Credentialing Company.
• Collaborate with internal teams to ensure smooth billing operations and support revenue cycle efficiency.
• Communicate with patients, payers, and staff as needed to resolve account-related issues.

Requirements

• High School Diploma or its equivalent.
• FQHC or primary health care billing preferred.
• Accounts receivable follow-up and resolution required.
• Knowledge of third-party insurance carrier portals and communication required.
• FQHC or primary health care payer credentialing and enrollment preferred.
• Experience in customer service, office work, or a clinical setting.
• Bilingual ability is preferred.
• Ability to work Mondays through Fridays during the hours of 8am and 5pm.
• Ability to read, write, speak, and comprehend English fluently.
• Vaccines as required.

Benefits

• None specified