Medical Biller

The Bedford-Stuyvesant Family Health Center (BSFHC) is a Federally Qualified Health Center (FQHC) that serves all of the primary health care needs of families in the heart of North and Central Brooklyn. Our mission is to provide the most professional, courteous and highest quality health care, with dignity, to those we serve, especially the undeserved population, without regard for ability to payThe Medical Biller is responsible for accurate and timely billing, claims submission, payment posting, and follow-up for services provided by a Federally Qualified Health Center (FQHC). This role requires strong knowledge of FQHC billing rules, Medicare, Medicaid, Managed Care Plans, and NYS specific regulations to ensure maximum reimbursement and compliance with federal, state, and payer requirements.Essential Duties and ResponsibilitiesPrepare, review, and submit claims to Medicaid, Medicare, commercial insurance, and other third-party payers in accordance with FQHC billing guidelinesApply correct CPT, HCPCS, ICD-10, and revenue codes, including FQHC-specific PPS and wrap-around billing requirementsVerify patient insurance eligibility and benefits prior to billingPost payments, adjustments, and denials accurately in the practice management systemResearch and resolve claim rejections, denials, and underpayments in a timely mannerProcess patient statements and respond to billing inquiries with professionalism and confidentialityMaintain compliance with HRSA, CMS, Medicaid, and payer regulationsCoordinate with clinical staff, front desk, and coding team to resolve documentation or billing discrepanciesMaintain accurate billing records and documentation for audits and reportingAssist with month-end closing and revenue reporting as neededEducation & ExperienceHigh school diploma or equivalent; Associate degree in healthcare administration or related field (preferred) and Certification such as CPB, CPC (preferred)Minimum 3-5 years of medical code billing and administrative experienceknowledge of medical terminologyeClinical Works preferredMedical Billing/Coding certified a plus.Prior experience in an FQHC or community health center strongly preferredKnowledge & SkillsStrong Knowledge with Medicaid, Medicare, and Managed Care plan billing and with insurance provider portals, clearinghouses, and claims tracking tools Proficiency with EHR and practice management systemsAbility to meet deadlines and manage multiple tasksTeam oriented with the ability to work independentlyStrong written and verbal communication skills Hourly Rate: $27 per hour starting rate/based on experience Benefits Overview: We offer attractive compensation with comprehensive benefits including: Medical, Dental, Vision, 401k Retirement Plan with discretionary Match, Free Life Insurance and Long-Term Disability, Transportation Plan, Generous Paid Vacations and Holidays.BSFHC IS AN EQUAL OPPORTUNITY EMPLOYER

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