The Long Island FQHC, Inc. (Long Island Federally Qualified Health Center or LIFQHC) is a non-profit healthcare organization with 7 health centers, providing primary care and preventative medicine in the following locations in Nassau County: Roosevelt, Elmont, Hempstead, Freeport, Oceanside, and New Cassel/Westbury. In addition, the LIFQHC has 3 school-based health centers, WIC offices (Special Supplemental Nutrition Program for Women, Infants, and Children) in 3 locations, and a Health Home Care Coordination program. As federally qualified health centers, we serve the individuals in our communities, providing enhanced services, expanded hours and reduced prescription pricing, while raising the level of care. We treat patients regardless of income, residency or immigration status.

The Long Island FQHC offers a stable employment opportunity with a growing company, and competitive base compensation along with health and dental insurance, paid time off, 401-K with company match, paid holidays, employee discounts and much more.

Our Mission

The mission of LIFQHC is to provide access to equitable, comprehensive, optimal healthcare by improving the overall wellness of all individuals in our communities and delivering high quality extensive patient centered care.

Our Vision

Creating healthier communities by transforming the health care system one person at a time.

JOB TITLE: Medical Biller and Coder

REPORTS TO: Director of Revenue Cycle

The following statements reflect the general duties, responsibilities and competencies considered necessary to perform the essential functions of the job and should not be considered as a detailed description of all the work requirements of this position.

RESPONSIBILITIES:

• Preparing reviewing and transmitting claims
• Preparing, reviewing, and uploading patient statements
• Processing patient payments and refunds
• Researching and appealing denied claims.
• Following up on un paid claims within standard billing cycle timeframe
• Checking insurance payments for accuracy
• Coordinating with insurance companies regarding any discrepancy in payments
• Identifying and billing secondary or tertiary insurances
• Periodically monitor the self-pay clients’ accounts.
• Maintain strictest confidentiality according to HIPPA regulations
• Prepare monthly cash receipts in assisting director and assistant director of revenue cycle
• May analyze rejected and outstanding claims, troubleshoot errors and rejection codes, and correct and re-submit all denied claims.
• May process insurance payments, including balance billing to secondary insurance
• Regularly meet with Director of Patient Revenue Cycle to discuss projects and resolve issues and billing obstacles
• Update cash spreadsheets, and running collection reports
• Preform additional duties as requested by supervisor

QUALIFICATIONS:

• Knowledge of FQHC billing requirements and insurance guidelines including HMO/PPO, Medicare, Medicaid, and other payer requirements and systems
• Familiarity with CPT and ICD-10 Coding
• Preferred knowledge of eClinicalWorks EMR software
• Must be PC proficient and able to thrive in a fast-paced setting.
• Experience with Microsoft Excel, Access, and Word.
• Strong verbal and written communication skills
• Strong interpersonal and customer service skills required
• Ability to multi-task, work under pressure and meet deadlines required
• 2 years of medical billing experience
• Medical coding/billing certification from an accredited institution (AAPC or AHIMA)
• Reviewing claims to ensure coding accuracy

SALARY: Commensurate with experience

MORE INFORMATION: This is a non-exempt position.

PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to perform a range of physical activities that are essential to the core work functions outlined in this document.