Experience Inc. Jobs

JOB REQUIREMENTS: We\'re Hiring! Do you have a passion for our community and the skill set to support growth at an up-and-coming health organization? Progressive Community Health Centers is seeking an experienced Dental Billing Specialist at our Lisbon Avenue Health Center. No late nights, no holidays, and no weekends! Who are we? Founded in 1999, Progressive Community Health Centers is an independent non-profit organization that operates four clinic locations in Milwaukee, Wisconsin. More than 100 employees support our agency\'s mission to improve the health and quality of life of the community by providing culturally competent services that address identified needs. We provide high quality, comprehensive care to roughly 16,000 patients annually, a majority of who are low-income. No one is ever turned away from our clinics based on insurance status or ability to pay. We value a patient-centered philosophy and provide range of services that include family medicine, internal medicine, women\'s health, urgent care, dental, radiology and integrated behavioral health. We also offer supportive services such as case management, health education and benefits enrollment. JOB SUMMARY The Dental Billing Specialist is a key position in the Revenue Cycle, it manages the claims process, including accurate and timely claim creation, follow-up and correspondence with providers, and insurance inquiries/correspondence. The incumbent will assist in the clarification and development of process improvements and inquiries, and assure payments related to patient services from all sources are recorded and reconciled in time to maximize revenues. Other important duties include enrollment processing and reporting. ESSENTIAL FUNCTIONS AND DUTIES Assist with ensuring scheduling errors are minimal and procedures scheduled are accurate and have the proper prior authorization. Prepares and submits clean claims to third-party payers either electronically or by paper. Maintains relationship with the clearinghouse, including appropriate follow-up with support issues. Coordinate the process of patient eligibility through various third-party sources. Coordinate collection process, to include any projects from Wisdom/EPIC accounts and tracking current collections. Coordinate and administer policy and procedure for sliding scale. Work with front desk staff/financial counselor and ensure appropriate collection of co-pay and self-pay fees. Handles patient inquiries and answers questions from clerical staff and insurance companies. Identifies and resolves patient billing problems. Denial and insurance follow-up management. Assist with Good Faith Estimates, Prior Authorization and Referrals as necessary. Issues adjusted, corrected, and/or rebilled claims to third-party payers. EDUCATION AND EXPERIENCE: Previous medical billing experience including knowledge of billing-related reporting; 5 - 7 years\'... For full info follow application link. EEO/Disability/Veteran employer. ***** APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/B576ADF04CBE4DB4