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.