FQHC Medical Billing Specialist

First Choice Health Centers; East Hartford (CT); Vor Ort; USD 25.000 - 34.000; Vollzeit

Benefits dieser Stelle

Medical, Dental and Vision Insurance

20 days of Vacation, 8 Paid Holidays,

2 Floating Holidays per year

Retirement savings program, including

safe harbor 401k with up to a 4% com

pany match after 6 months ofemployment

Voluntary Term, Whole Life, Accident

and Critical Care Insurance

Complimentary premium Calm Health

membership (#1 mental health app)

Recognition programs

Paid Basic Life Support certification

with renewal every 2 years.

Primarily a Monday through Friday

schedule working 8:00 am to 4:30 pm.

There is one late night until 6 pm but

you will get out on Friday at 3 pm.

Zusammenfassung

First Choice Health Centers in East Hartford, CT is seeking a FQHC Medical Billing Specialist to handle billing, coding and collections for multiple service lines. The role is full-time, hours typically Monday to Friday, 8:00 am to 4:30 pm with occasional late night until 6 pm and potential Friday early departure at 3 pm.

Responsibilities include submitting claims, updating patient records, managing billing software, and addressing payer inquiries while ensuring HIPAA compliance and accurate

Qualifikationen

• College-level education in Accounting, Finance or Medical Billing; degree preferred but experience accepted.
• 2+ years of billing/collections in healthcare or insurance.
• Experience with Medicaid billing required.
• Knowledge of ICD/CPT coding and payer requirements.
• Familiarity with HRSA guidelines optional but advantageous.

Aufgaben

• Prepare and submit billing data and medical claims to insurance companies.
• Ensure accurate patient information and up-to-date medical records.
• Maintain billing software, update rate changes and generate financial reports.
• Resolve billing discrepancies and appeal denied claims.
• Follow up on unpaid claims within standard billing cycles.

Kenntnisse

Accounting knowledge

Medical billing terminology

EHR and electronic billing knowledge

ICD-9/10 and CPT coding

HIPAA compliance

Ausbildung

College-level education in Accounting/Finance/Medical Billing

Tools

eClinicalWorks

Jobbeschreibung

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

FQHC Medical Billing Specialist

Administrative & General Full Time 809 Main St. EH, East Hartford, CT, US

3 days ago Requisition ID: 1034

Salary Range: $18.00 To $25.00 Hourly

First Choice Health Centers is looking for a Billing Specialist to perform billing, coding and collection activities for assigned providers, patients and insurance accounts. This individual will be responsible for coordinating all aspects of the billing process for multiple lines of service - medical, dental behavioral health, optometry, podiatry and OB/GYN. This position is located in East Hartford, CT.

Why First Choice?

We are committed to you! We offer great training, great benefits, career growth and employee well-being!

• Medical, Dental and Vision Insurance for employees working 30 hours or more
• 20 days of Vacation, 8 Paid Holidays, and 2 Floating Holidays per year
• Retirement savings program, including a safe harbor 401k with up to a 4% company match after 6 months of employment
• Voluntary Term, Whole Life, Accident and Critical Care Insurance
• Complimentary premium Calm Health membership (#1 mental health app)
• Recognition programs
• Paid Basic Life Support certification with renewal every 2 years.
• Primarily a Monday through Friday schedule working 8:00 am to 4:30 pm. There is one late night until 6 pm but you will get out on Friday at 3 pm.

The hourly range for this position is $18.00 - $25.00/hour. Pay is based on several factors including but not limited to work experience certifications, etc.

For more than 25 years First Choice Health Centers has been a leading nonprofit human services organization that breaks down barriers to care helping individuals and communities live healthier lives. To learn more about First Choice Health Centers, visit us at firstchc.org.

• Knowledge of accounting; math skills
• Knowledge of medical and billing terminology
• Knowledge of EHR and Electronic Billing
• Knowledge of 270/271 and 835/837

Experience and Training:

• College level education in Accounting, Finance, Medical Billing. Equivalent work experience can be substituted in lieu of degree
• 2 + years of billing/collections experience in a healthcare of insurance environment.
• Experience with Medicaid billing is required
• knowledge of ICD and CPT coding
• Experience with Federally Qualified Health Center (FQHC) payment systems
• Strong working knowledge of HRSA guidelines

Experience with ICD-9/10 and CPT coding is Preferred

• Knowledge of healthcare carriers and payer requirements
• Familiarity with billing software like eClinicalWorks

Standard Job Duties:

• Preparing and submitting billing data and medical claims to insurance companies
• Ensuring accurate patient information and up-to-date medical records
• Maintaining billing software, updating rate changes, and generating financial reports
• Resolving billing discrepancies and appealing denied claims
• Ability to assess financial summaries and spot discrepancies for accurate billing
• Prioritizing tasks to stay organized and meet deadlines
• Checking each insurance payment for accuracy and compliance with contract discount
• Calling insurance companies regarding any discrepancy in payments if necessary
• Identifying and billing secondary or tertiary insurances
• Answering patients' billing and insurance inquiries, as well as handling complaints
• Reviewing accounts for possible assignment and making recommendations to the Billing Supervisor, also preparing information for the collection agency
• Maintaining strictest confidentiality; adhering to all HIPAA guidelines and regulations
• Processing claims and following up with insurance companies
• Reviewing patient bills for accuracy and completeness and obtaining any missing information
• Following up on unpaid claims within the standard billing cycle timeframe
• Review, research and respond to correspondence from insurance companies, attorneys and patients
• Contact patients as needed to collect appropriate information or to collect patient balances.
• Identify, verify and document account adjustments according to established policy and procedures.
• Ensure service level and productivity requirements are met as it relates to reimbursement of accounts, resolution of tasks and response to inquiries etc.
• Maintain positive working relationships with internal and external customers by providing superior customer service.
• Utilize Medical and Billing Terminology.
• Adhere to Clean Claims Act and HIPAA policy and procedures.

COVID-19 considerations: Employees of First Choice Health Centers must be vaccinated against COVID-19. Certain exemptions may apply.

First Choice is a drug-free workplace. Candidates are required to pass a drug test, including testing for marijuana, before beginning employment.

First Choice is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.