Medical Biller

The Bedford-Stuyvesant Family Health Center (BSFHC) is a Federally Qualified Health Center (FQHC) serving primary healthcare needs of families in North and Central Brooklyn. The Medical Biller is responsible for accurate and timely billing, claims submission, payment posting, and follow-up for services provided by the FQHC. This role requires strong knowledge of FQHC billing rules, Medicare, Medicaid, Managed Care Plans, and NYS-specific regulations to ensure maximum reimbursement and compliance with federal, state, and payer requirements.

Responsibilities include:

• Preparing, reviewing, and submitting claims to Medicaid, Medicare, commercial insurance, and other third-party payers in accordance with FQHC billing guidelines
• Applying correct CPT, HCPCS, ICD-10, and revenue codes, including FQHC-specific PPS and wrap-around billing requirements
• Verifying patient insurance eligibility and benefits prior to billing
• Posting payments, adjustments, and denials accurately in the practice management system
• Researching and resolving claim rejections, denials, and underpayments in a timely manner
• Processing patient statements and responding to billing inquiries professionally and confidentially
• Maintaining compliance with HRSA, CMS, Medicaid, and payer regulations
• Coordinating with clinical staff, front desk, and coding teams to resolve documentation or billing discrepancies
• Maintaining accurate billing records and documentation for audits and reporting
• Assisting with month-end closing and revenue reporting as needed

Education and Experience:

• High school diploma or equivalent; Associate degree in healthcare administration or related field preferred
• Certifications such as CPB, CPC preferred
• Minimum 3-5 years of medical billing and administrative experience
• Knowledge of medical terminology
• Experience with eClinical Works preferred
• Medical Billing/Coding certification is a plus
• Prior experience in an FQHC or community health center strongly preferred

Skills:

• Strong knowledge of Medicaid, Medicare, and Managed Care billing and insurance provider portals, clearinghouses, claims tracking tools
• Proficiency with EHR and practice management systems
• Ability to meet deadlines and manage multiple tasks
• Team-oriented with the ability to work independently
• Strong written and verbal communication skills

Hourly Rate: $27 per hour starting rate based on experience

Benefits include medical, dental, vision insurance, 401k retirement plan with discretionary match, free life insurance and long-term disability, transportation plan, and generous paid vacations and holidays.