In an aim to help keep our patients, staff, and communities safe, STRIDE requires that all hired employees be fully COVID-19 vaccinated and to obtain an annual flu shot. STRIDE CHC employees are also required to be screened for tuberculosis and to complete a PPD test.

What will you be doing in this role? A successful candidate will:

General Purpose: This position is critical to the success of the revenue cycle. Bill and collect payments for services rendered from a variety of payor sources. The Patient Accounts Billing Specialist is responsible for timely and accurately coding, billing, claim denials, and payment posting.

Essential Duties/Responsibilities:

• Resolve issues with incomplete and/or inaccurate patient registration
• Verify charges were entered correctly and correct as needed.
• Work aged receivables utilizing A/R reports/functionality in revenue cycle management (RCM) module
• Review and assess adjudicated claims for timely and proper payment of outstanding balances
• Research, correct and resubmit or reprocess unpaid claims as necessary
• Verify validity of account balance by researching, reviewing, and ensuring accuracy or payment and adjustment posting
  Review and interpret explanation of benefits (EOB) for denials and reimbursement underpayments
• Research and resolve denials and underpayments with insurance carriers
• Submit third party payor appeals and reconsideration requests in a timely manner
• Meet department and/or organization productivity goals/benchmarks
• Post third party payor(s), government, grant funded and patient payments
• Respond to patient inquires regarding billings
• Assist other staff as needed to keep department workload current
• Maintain communication with all interested parties regarding patient account issues

A successful candidate will possess the following education or formal training: Education or Formal Training:

Education or Formal Training:

• High school diploma or GED required

CPC Certification preferred

A successful candidate will possess experience:

Experience:

Experience with coding, billing and insurance programs required. In-depth knowledge of Medicaid, Medicare or other third party payors billing processes and regulations required.

Knowledge, skill and ability:

• Ability to interact positively and build rapport with patients, coworkers and/or external contacts
• Ability to work independently and organize work in a manner that ensures accuracy and efficiency
• Knowledge of medical electronic billing procedures and coding
• Ability to demonstrate the capability to effectively and sensitively respond to the needs and concerns of the full range of STRIDEs diverse patient population
• Customer service skills, including the ability to diffuse upset patients
• Basic math skills required; Basic excel spreadsheet skills and a basic understanding of accounting helpful
• Skill in using a variety of computer software including but not limited to the internet and MS Office products
• Ability to handle sensitive information ethically and responsibly
• Ability to protect the confidentiality of patient, employee and business information
• Bilingual Spanish is preferred
• Must be experienced in working in a fast-paced environment and be able to multi-task and prioritize

Working environment/physical activities: Office environment within a clinical setting. Enters data into computer programs via computer, mouse and keyboard. Moves about the office environment and occasionally to other locations. Moves/transports objects up to 25 lbs occasionally. Communicates information to others. Discerns/analyzes information from others to assist in decision making.

Join Us. Together We Improve lives.

STRIDE conducts a background check, including criminal history, education, license, certification.

STRIDE recognizes and appreciates the rich array of talents and perspectives that equal employment and diversity can offer our organization. STRIDE is committed to making all employment decisions based on valid requirements. No applicant shall be discriminated against in any terms, conditions or privileges of employment or otherwise be discriminated against because of the individual's race, creed, color, religion, gender, national origin or ancestry, age, mental or physical disability, sexual orientation, gender identity, genetic information or veteran status. STRIDE does not discriminate against any "qualified applicant with a disability" as defined under the Americans with Disabilities Act and will make reasonable accommodations, when they do not impose an undue hardship on the organization.

We Offer:

• Medical, Dental, and Optional Vision Insurance.
• Paid-Time-Off (PTO).
• Company Paid Life Insurance.
• A 401K retirement savings plan & match!
• Flexible Spending Account (FSA) and Dependent Care options.

A successful candidate will live STRIDE ICARE values:

Integrity doing the right thing even when no one is watching.

Compassion meeting the patient where theyre at with empathy.

Accountability doing what we say were going to do.

Respect showing attention to human dignity.

Excellence having a growth mindset; striving to learn more and practice continuous improvement.