The Senior FQHC/HSN Biller should come with extensive knowledge of FQHC and Massachusetts Health Safety Net (HSN) billing. This position is specifically for a project related to HSN. There may be an opportunity for continued work after project completion. PLEASE ONLY APPLY IF YOU HAVE PERFORMED MASSACHUSETTS FQHC BILLING TO THE HEALTH SAFETY NET.
Qualified candidates must possess the following combination of education and experience:
- Must have extensive experience working through Massachusetts Health Safety Net issues. Please do not apply if you have never submitted to MA HSN.
- EPIC experience high preferred.
- High School diploma or GED required.
- Experience in third-party billing and collections preferred. ICD10 and CPT coding, contract compliance, and information reporting requirements.
- The ability to work independently and with teams to solve problems
- Strong Healthcare Revenue Cycle operational workflow knowledge
- Role is for a long-term project with the opportunity for additional work upon completion
Major Responsibilities:
- Correct and resubmit claims to the Massachusetts Health Safety Net
- Monitor HSN claims submission and remittance
- Post HSN payments and manage denials
- Work to correct any file or EDI issues and communicate directly with HSN regarding claims issues
- Monitor and work Epic Work-Queues related to HSN, investigate payment-related claims issues and prepare claims for submission
- Demonstrates understanding and commitment to the health center mission
- Demonstrates understanding and commitment to the established CHC Values and Standards
- Perform all other job-related duties that may be assigned