• Process missing slips in Athena and create claims according to payer’s requirements and guidelines.
• Follow up on all denied claims and drive it to proper resolution.
• Process inpatient charges in Alert MD.
• Process chronic care coordination charges in Time Doc.
• Identify claims that need referrals or additional information for payment.
• Manually post dental payments in Dentrix.
• Process, follow up on and resolve requests for itemized bills.
• Manage and follow up on payment plans offered to patients with outstanding balances.
• Review and analyze account balances to determine true insurance and patients’ refunds.
• Follow up with patients when updated insurance information is needed to process claims.
• Maintain regular communications with patients until such time that accounts are paid in full.
• Attend all departments’ meetings as well as PrimeCare all-staff meetings.
• Coordinate and submit settlement offer for approval.
• Other duties as assigned.

• Work effectively with a diverse group of professionals within the whole organization.
• Exercise independent judgment and prioritize effectively.
• Analyze, recommend, and implement creative improvements.
• Demonstrate ability to work independently and in a team-based environment.
• Strong interpersonal skills demonstrating ability to establish strong working relationships and communicate effectively in a confidential manner.
• Maintain appropriate professional boundaries with all staff, trainees, and patients at all times.
• Demonstrate respect and sensitivity for cultural diversity, gender differences, and sexual orientation of patients and co-workers.
• Strong knowledge of ICD-10, CPT-4 and HCPCS coding as well as basic medical terminology
• Ability to interpret and analyze EOBs (explanation of benefits).
• Proficient skills/experience with Microsoft Office products (Outlook, Word, Excel, PowerPoint) and Adobe.

• Must be able to move around the clinic site 50% of the time.
• Constantly operates a computer, computer printer, copy machine, and telephone.
• Occasionally positions self to maintain exertion of physical strength to move objects of 10 pounds from one level to another.
• Must be able to transport from one site to another.
• Must be able to cover other shifts as necessary.

Required Knowledge, Experience, or Licensure/Registration

• Bachelor’s degree in business administration, accounting, or finance preferred.
• CPC or CPC-A certifications strongly preferred.
• 3 – 5 years of experience in outpatient/inpatient Medicaid, Medicaid MCOs, Medicare, Medicare Replacement, and commercial insurance billing preferred.
• Prior experience in health care organizations and experience in FQHC strongly preferred.
• Prior experience with Athena EMR strongly preferred.

Comprehensive Health Insurance Benefits through BCBS of IL:

• Health Insurance (HMO/PPO)
• Dental Insurance (HMO/PPO)
• Vision Insurance
• Short/Long-Term Disability Insurance
• Group Life Insurance

Other Benefits Include:

• 403(b) Retirement plan with employer match
• Pension Plan
• Voluntary Life/ AD&D
• Flexible Spending/Dependent Care Accounts
• Annual CME Allowance and CME PTO (Providers Only)
• Paid Time Off
• 3 Personal days per calendar year
• 7 Holidays per calendar year
• Employee Assistance Program
• Tuition Assistance Program
• Off-the-job Accident Coverage
• Employee Referral Program
• Internal Growth Opportunities

PrimeCare Community Health is part of the National Health Service Corps, as such, you would be able to participate in their Loan Repayment Program. For more information, please visit their website at https://bhw.hrsa.gov/loans-scholarships

PrimeCare Health is firmly committed to creating a diverse workplace and is proud to provide equal employment opportunities to all applicants. Therefore, PrimeCare does not discriminate on the basis of creed, color, national origin, sex, gender identity, sexual orientation, age, religion, marital or parental status, alienage, disability, political affiliation or belief, military or military discharge status.