Billing Professional – Remote – Full Time | $21.00 – $23.13 an hour

Solutions 4 Community Health (S4CH) is a mission‑driven organization specializing in optimizing Community Health Centers through innovative revenue cycle management, AI‑powered billing solutions, and data analytics. S4CH partners with safety‑net providers to reduce missed or rejected claims, strengthen financial sustainability, and improve operational performance.

Through tailored administrative support, IT services, and EMR optimization, S4CH helps health centers streamline workflows, enhance care delivery, and remain focused on their core mission of serving communities.

Key Services & Solutions

• Revenue Recovery & Optimization: AI‑powered billing and in‑depth analyses, including multi‑year lookback reviews, to identify and recover missed or underpaid claims.
• Consulting & Administrative Support: Strategic leadership, operational guidance, and administrative services to support health center management and growth.
• Data Analytics & Reporting: Custom dashboards and reporting tools to track financial trends, identify risk areas, and uncover performance opportunities.
• EMR Training & Transformation: EMR optimization and end‑user training to improve efficiency, documentation, and system utilization.
• Clinical Quality & Practice Management: Workflow optimization and quality improvement initiatives to support high‑quality, compliant patient care.

Our Approach

S4CH serves as a trusted, long‑term partner to Community Health Centers, embedding expertise, technology, and operational support to drive sustainable outcomes and measurable impact.

The Desktop Support provides on-site or remote technical assistance including the setting up of computer hardware systems, installing and upgrading software and solving technical issues ensuring optimal workstation performance.

****** $1500 Sign On Bonus- Terms and Conditions Apply****

The Billing Professional will report to the Supervisor of Revenue Cycle and work closely with the Manager of Revenue Cycle, the Director of Revenue Cycle and the VP of Information and Practice Management.

The Billing Professional will be responsible for timely follow-up and review of Accounts Receivable. Responsibilities include:

• Ensuring unpaid claims are reviewed and appropriate action is taken.
• Denials are worked and appealed as appropriate.
• Appropriate appeals are written, sent to the payer and followed up on in a timely manner.
• Maintains a system knowledge of ecw, claim Remedi/Waystar, Cognos and general knowledge of robotics
• Participates in coding or registration audits
• Corrects claim errors preventing clean claim submission (insurance ID number, missing diagnosis pointers etc.)
• Submits clean claims through clearinghouse and/or direct bill payer sites
• Ensures insurance claims are received and on file with payers
• Processes patient refund requests and check returns to various payors correctly.
• Accurately reconciles payment and subsequent cash reports/cash reconciliation
• Posts all payments and remittances within required timeframe and ensure all insurance adjustments are applied as needed.
• Appropriate insurance adjustments are applied as needed

The Billing Professional will work with the Finance Department to reconcile the payment and subsequent cash reports. Additionally, it will be their responsibility to communicate to their Supervisor any problems or issues as they occur. They will maintain a current knowledge of payer guidelines, fee schedules, contracts, quality incentives, and system knowledge including ECW, Cognos and Claim Remedi. Other responsibilities include working well with other billing staff and communicating with our network of community health centers. As well as professional demeanor, adherence to all Sun River Health policies and procedures is required.

A qualified candidate will have a minimum of one to two years of experience in billing or revenue cycle management in either a physician practice or other similar setting.

An Associates Degree or equivalent experience is preferred. High School Diploma/GED required.

Certification in Coding (CPC) is required through AAPC

Experience with New York State Medicaid (EMEDNY, Epaces) and third party (commercial carriers) insurance follow up preferred

Possessing knowledge of New York State Department of Health programs or federally qualified health center operations considered advantageous.

In addition, demonstrated experience working in a diverse employment setting and working collaboratively with other employees is advantageous.

Job Type: Full-time

Pay: $21.00 – $23.13 per hour

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

License/Certification:

• Certified Professional Coder (Required)

Work Location: Remote
URL: https://www.indeed.com/viewjob?jk=2c139cf3a92ce021

Tagged as: Benefits, Full Time, Pays $20+ an Hour, Remote