• Serves as ambassador of SWMTCHC with all patients, vendors, etc.
• Reviews superbill or electronic equivalent for accuracy and completeness in coding and charging
• Enters patient fees and codes into practice management system
• Runs and verifies Daily Close/End of Day reports
• Receives, processes and posts hospital charges
• Processes patient statements
• Processes patient third party billings
• Posts insurance payments and works denials
• Works outstanding accounts receivable
• Maintains patient accounts and billing files and scans billing documents into practice management system as appropriate
• Assists with investigating, processing and resubmitting patient third party explanation of benefit statements
• Determines and processes patient fee adjustments
• Responds to questions concerning patient accounts
• Monitors patient account receivables and identifies and refers delinquent accounts to appropriate party
• Reviews and reconciles invoices for patient ancillary services
• Remains current with standards of health care billing and coding practices
• Complies with center’s policies and procedures
• Operates specialized office equipment
• Participates in continuous quality improvement activities
• Other duties as assigned by the Billing Supervisor

• General accounting skills
• Knowledge of CPT and ICD-10 codes and use of automated information management system software
• Experience researching guidelines for services by various providers to include documentation requirements, CPT coding, ICD 10 coding as well as insurance billing guidelines
• Ability to create education guidelines for staff such as nurses, lab techs, front office, and others
• Technically proficient computer skills
• Thorough knowledge of common office equipment (copier, fax, printer, etc.)
• Excellent oral and written communication skills
• The ability to communicate effectively with patients and staff using excellent customer service skills
• Ability to organize and prioritize tasks
• Ability to work under pressure and meet deadlines
• Strong analytical, attention to detail and problem-solving skills
• Ability to work independently and as a team member

• Practices with the scope of education, training, and personal capabilities
• Maintains confidentiality
• Follows federal, state and local legal guidelines; follows license criteria when licensure applies
• Maintains HIPAA & OSHA compliance
• Reports any evidence of abuse or neglect to provider or appropriate official

Southwest Montana Community Health Center is a mission-driven, non-profit Federally Qualified Health Center (FQHC). FQHCs are community-based healthcare providers that receive funding from the Federal government to provide comprehensive primary care services in underserved areas. FQHCs provide care to all individuals, regardless of their ability to pay, and offer a sliding fee discount based on income. FQHCs must meet certain requirements to receive funding, such as providing services to medically underserved areas or populations, offering a comprehensive set of primary care services, and having a governing board that includes patients. Southwest Montana Community Health Center is a recognized National Committee for Quality Assurance (NCQA) Patient Centered Medical Home (PCMH). PCMH designation is gained by meeting certain standards set by the NCQA. These standards include providing comprehensive, coordinated care, using evidence-based practices, and engaging patients in their care. Community health centers that receive PCMH designation are recognized for providing high-quality, patient-centered care that improves health outcomes and reduces costs. PCMH is our model of primary care that emphasizes care coordination, communication, and patient engagement to improve the quality of care and patient outcomes. The PCMH model encourages providers to work as a team to coordinate and manage care for patients, provide timely access to care, and use evidence-based practices to improve outcomes. The PCMH model also emphasizes the importance of patient engagement, providing patients with the tools and resources they need to take an active role in their own health care. We opened our doors in 1986 under the name Butte-Silver Bow Primary Healthcare Clinic Inc. Our main clinic is in Butte, Montana, and we have locations in Dillon and Anaconda, Montana. We offer medical, dental, behavioral health, care management, pharmacy, and clinical pharmacy services to everyone. We accept most insurances and private-pay clients, as well as uninsured or underinsured clients. Our passion is to ensure that healthcare remains accessible and affordable to everyone. Our clinics care for more than 13,000 patients annually and employs more than 150 people in our various locations.