NeighborHealth Center

Administration

• Maintain accurate and up-to-date insurance information in patient records, ensuring proper documentation and timely updates.
• Utilize Availity to research, correct, and complete payment posting aligning with EM.
• Communicate with appropriate agencies and internal contacts to obtain necessary insurance details or resolve eligibility/payment issues.
• Monitor and resolve items in all billing work queues for denials/follow up/claim Edit/credit balances and retro review.
• Run reports and follow up on bad debt.
• Assist with record keeping, sorting, and defining mail and emails.
• Assist Front Desk/Scheduling with insurance-related questions.
• Provide customer service to patients inquiring about their accounts and process requests for refunds.
• Assist with provider credentialing and payer enrollment processes, including data entry and documentation management.
• Assist and monitor Facility/Provider credentialing for renewals in coordination with Credentialing Company.
• Collaborate with internal teams to ensure smooth billing operations and support revenue cycle efficiency.
• Communicate with patients, payers, and staff as needed to resolve account-related issues.

Billing and Insurance Administrator

Operations

• The Operations Administrator plays a key role in ensuring the smooth day-to-day functioning of clinic operations
• Serve as the internal administrator for Epic EMR user access, configurations, and workflow optimization
• Act as the primary point of contact for the Managed Service Provider (MSP) handling IT services
• Liaise with property managers for maintenance issues, repairs, lease compliance, and utilities
• Support policy development and documentation related to operational workflows