Billing and Collections Representative

Community Health Center role focused on billing and collection activities across medical, behavioral health, and dental services.

• Creates, corrects, and resubmits claims for assigned payers and patient accounts
• Researches and resolves claim denials, rejections, and outstanding balances
• Follows up with payers through portals, email, and phone, including appeals and reconsideration requests
• Identifies credit balances, submits refund requests, and flags bad debt write-offs
• Posts third-party payments and assists with patient/payer payment reconciliation
• Applies sliding fee discounts for eligible patient charges
• Coordinates with credentialing staff and vendors to help reduce claim denials
• Maintains billing documentation and responds to patient and staff inquiries