Billing Specialist - Lead

WHO WE ARE:

Aviva Health is a dynamic and mission-driven federally qualified health center (FQHC). Committed to providing comprehensive and compassionate healthcare services, Aviva Health offers a holistic approach to care, addressing patients' medical, behavioral health, dental, and social service needs. As a vital healthcare resource in the community, Aviva Health fosters a collaborative and supportive work environment where dedicated healthcare professionals have the opportunity to make a meaningful impact on the lives of individuals and families. Join us at Aviva Health and be part of a team that is dedicated to making a difference in the lives of our patients and the community we serve.

BENFITS INCLUDED:

Monday - Friday Scheduling

Paid Holidays

PTO

Comprehensive Medical, Dental, and Vision Coverage

401 K Contribution 

POSITION PURPOSE:

This position is responsible for assisting the Operating Revenue Manager, Billing Supervisor, and the billing team to maintain a stable and healthy revenue cycle through prompt, accurate, and effective medical insurance claim submission, with follow-up of claims to satisfactory resolution.

ESSENTIAL FUNCTIONS:

Assist with oversight of the billing services, which includes ensuring accuracy of the coding, billing and accounts receivable. This position functions as a resource and troubleshooter for the billing team. 

Stay up to date on current rules and regulations regarding billing and coding practices.

Assist with creation and implementation of effective and ongoing training for health center staff and providers as necessary.

Perform chart audits for completeness, accuracy and compliance, and provide appropriate feedback and guidance to clinical and billing staff.

Assist patients with billing questions and issues, to include guidance on office policies regarding sliding scale discounts and payment arrangements for outstanding balances.

Assist front office staff with billing questions relating to proper registration and scheduling of appointments as needed.

Participate in projects, trainings, and office/staff meetings.

QUALIFICATIONS:

High School Diploma or GED required.

Minimum of two years’ experience in medical billing utilizing ICD-10, CPT, and HCPCS coding.

Certification in medical coding/billing preferred.

Must have a high level of attention to detail.

Excellent written and oral communication skills.

WORKING CONDITIONS:

Must be able to perform the following physical requirements with or without an accommodation:

Remain in a stationary position frequently throughout the day while performing duties.

Move or traverse occasionally during the day throughout the worksite.

Operate equipment frequently throughout the day: computer, phone, printer, standard office equipment.

Ability to communicate information and ideas clearly and accurately so others will understand; ability to interact with patients and staff clearly.

Able to move or transport up to 5 pounds while transporting laptop computer.

Work on-site indoors in heat-controlled environment 100% of the day.

OSHA Exposure Category – Category #2: The normal work routine involves no exposure to blood, body fluids, or tissues.

Remote or onsite work as directed by manager.

Normal business hours.

DISCLAIMER:

Employees must be able to perform the essential functions of their position satisfactorily. Aviva Health will make reasonable efforts to accommodate a qualified applicant or employee with a known disability unless such accommodation creates an undue hardship on the operation of the business. To request a reasonable accommodation, please contact the Human Resources Director or their designee by email.