Medical Billing Specialist

CONNECTICUT INSTITUTE FOR COMMUNITIES INC; Deutschland; Vor Ort; EUR 36.000 - 53.000; Vollzeit

Benefits dieser Stelle

Health care coverage

Retirement program

PSLF eligibility

Zusammenfassung

Connecticut Institute For Communities, Inc. (CIFC) Center is seeking a full-time Medical Billing Specialist to manage high-volume claims, post payments and denials, and coordinate with insurers. The role emphasizes accurate, timely reimbursement and interaction with patients.

The position requires CPC certification, ICD-9/10 experience, and familiarity with billing software. Strong communication and teamwork are essential for success in this fast-paced environment.

Qualifikationen

• Minimum High School Diploma; AA preferred.
• Previous medical billing office experience required; ICD-9/10 experience.
• Certified Professional Coder (CPC) required; language abilities a plus (English, Spanish, Portuguese).

Aufgaben

• Resolve medical claim denials with providers and front desk staff.
• Understand and operate computerized billing software.
• Process EOBs, denials, and appeals.
• Follow up on unpaid claims and patient accounts.
• Maintain accounts receivable details for Medicare, private insurance, and self-pay.

Kenntnisse

Medical billing experience

Communication skills

Team collaboration

Billing follow-up

Ausbildung

High School Diploma

AA preferred

CPC certification

Tools

Billing software

Jobbeschreibung

Description

Connecticut Institute For Communities, Inc. (CIFC) Center seeks a full-time (1.0 FTE) Medical Billing Specialist

High volume, community health center Billing Department position will perform manual and electronic billing to all insurances and patient statements, using computerized patient management billing software. This position is responsible for acquiring information for claims processing and posting payments and EOB denials. To assure timely reimbursement to the Center and manage the accounts receivable, the Specialist will review and research past due accounts, follow-up on unpaid claims and re-bill if necessary, and make calls to insurers on unpaid accounts. Communication with patients and assisting with other Center administrative duties may be required occasionally.

Essential Job Responsibilities

• 1. Responsible for working with colleagues (ie: providers, front desk) to resolve all denials.
• 2. Responsible for understanding computerized billing software.
• 3. Process EOB payments, denials and appeals.
• 4. Follow up on unpaid claims and patient accounts and perform necessary research and functions toward collection.
• 5. Understand the details of all accounts receivable (Medicare, private insurance, self-pay, etc.).
• 6. Receipt of insurance company and patient inquiries regarding statement and billing questions.
• 7. Maintain a filing system for all billing related documents to ensure efficient retrieval.
• 8. Advise regarding Center procedures manual.
• 9. Assist in other administrative duties as needed.
• 10. Maintain positive working relationship with all staff in all units.
• 11. Other duties as assigned.
• 12. Participate as appropriate in-staff and training sessions.

Requirements

Qualifications

Minimum High School Diploma, AA preferred, previous medical billing office experience required, ICD 9/10 experience, Certified Professional Coder (CPC) required, experience in Behavioral Health billing/coding preferred. Applicants with multiple language capabilities (English, Spanish, and/or Portuguese) are preferred.

Competitive compensation, plus comprehensive fringe benefits package including health care coverage and retirement program. CIFC is a recognized National Health Corps Site and qualifies for PSLF.