People's Health Center is a non-profit, designated Federally Qualified Health Center (FQHC) providing quality medical, dental and behavioral health services to the Lincoln community since 2003. FQHCs are safety-nets and serve as medical home and health home for over 20 million people in the United States -- a number that is quickly growing. Currently, there are over 1,200 FQHCs across the nation. FQHCs reduce health disparities, increase access to high quality care, boost local economies by creating jobs, reduce costly emergency room visits and overall improve health outcomes to create a better quality of life.

People's Health Center is committed to ensuring that we are available to everyone in our service area -- the young and the old; the financially steady and those who are struggling to make ends meet; the insured, the under-insured, and those without insurance -- are all able to have quality primary healthcare. We are proud to serve you, and we are working hard to continue to be responsive to the health care needs of our community.

•    Selects, trains, orients and supervises billing department personnel.  Assumes supervisory duties including coaching, counseling, and progressive discipline of staff.  Conducts performance evaluations of staff.
•    Assure Coders accurately process claim charges timely.
•    Assures all paper and electronic claims are submitted timely.
•    Monitors tasks in NG and Practice Insights to assure they are resolved timely.
•    Reviews department performance and ensures compliance with laws and regulations.
•    Interprets and enforces third party payer rules and regulations.
•    Reviews billing and collection patterns and makes corrective recommendations.
•    Identifies problems and accepts responsibility for problem-solving and advises administrative staff to make informed decisions.
•    Maintains knowledge of payer coverage determinations and guidelines, including FQHC requirements for Medicaid payers and Medicare.
•    Assures timely follow up on unpaid charges, denials, or rejections.
•    Assures daily posting of patient payments and all other non-ERA/EOB third party payments.
•    Assures adjustments are made appropriately in the Nextgen system for all sliding fee patients.
•    Will appeal and work to resolve unpaid claims where applicable.
•    Assure patient statement file is uploaded on a monthly basis.
•    Assures inbound and outbound patient phone calls regarding all billing issues are handled daily.
•    Assures timely identification of patient accounts with credit balances and processing of refunds.
•    Assure small balance adjustments are done monthly before patient statements are issued.
•    Run weekly billing meetings as well as other scheduled meetings with staff for discussing, processing, training, and managing billing functions.
•    Assure claims via the Nextgen Red Edit are resolved timely.
•    Assure that Electronic Clearing House claim errors and rejections are worked timely.
•    Draft all Billing Policies and Procedures for acceptance by the Board of Directors.
•    Work with Front Desk Manager to ensure front desk staff is trained and knowledgeable on insurance verification and patient demographics.
•    Maintain user access on insurance verification websites.
•    Assure all previous month’s transactions are completed and posted by end of business on the 15th of each month.
•    Updates/adds fee schedules and payer contracts in billing software.
•    Other duties as assigned by the Chief Financial Officer.

•    Bachelors degree preferred
•    At least 2 years supervisory and healthcare related billing experience
•    Medical coding certification required
•    Strong computer skills, including data-entry and working knowledge of Microsoft Excel and Word 
•    Good oral and written communication skills
•    Excellent problem solving skills
•    Highly organized and ability to meet deadlines
•    Attentive to detail, quality and accuracy
•    Self-starter and able to work with minimal supervision
•    Ability to interrelate with wide variety of people
•    Ability to maintain high level of confidentiality

All your information will be kept confidential according to EEO guidelines. 

The People’s Health Center is an equal opportunity employer. There is no discrimination with regard to hiring, assignments, promotion or other conditions of staff employment because of race, creed, color, religion, veteran status, national origin, age, sex, marital status, sexual preference or a disability not pertinent to the assigned job.