Medical Biller

GeBBS Healthcare Solutions; East Haven (CT); On-site; USD 26,000 - 33,000; Full time

Job summary

GeBBS Healthcare Solutions is seeking a detail-oriented Medical Biller to join our team in East Haven, CT. The role focuses on scrubbing claims, correcting denials, and ensuring compliance with coding regulations to optimize revenue cycle management.

The ideal candidate will have strong ICD-10, CPT, and HCPCS knowledge, experience with NextGen, and the ability to work both independently and with teams. Prior FQHC and Medicare follow-up experience is a plus.

Qualifications

• Strong knowledge of ICD-10, CPT, and HCPCS coding systems.
• FQHC experience is required.
• Medicare follow up proficiency preferred.
• Excellent attention to detail and analytical skills.
• Strong communication and interpersonal skills.
• Ability to work independently and as part of a team.

Responsibilities

• Review and scrub medical claims for accuracy and completeness before submission.
• Correct coding denials by analyzing the reasons for denial and making necessary adjustments.
• Ensure compliance with all relevant coding guidelines and regulations.
• Collaborate with healthcare providers and billing staff to resolve coding issues and improve processes.
• Maintain up-to-date knowledge of coding updates, regulations, and best practices.
• Generate reports on coding denials and trends to assist in identifying areas for improvement.
• Provide training and support to staff on coding practices and procedures as needed.

Skills

ICD-10 coding

CPT coding

HCPCS coding

NextGen

FQHC knowledge

Medicare follow-up

Attention to detail

Communication

Teamwork

Microsoft Office

Tools

NextGen

Billing software

AR follow-up

Job description

GeBBS Healthcare Solutions is a leading provider of Revenue Cycle Management (RCM) and Risk Adjustment services, helping healthcare organizations optimize operations, improve financial performance, maintain compliance, and enhance the patient experience. Recognized as a KLAS® Top Performer, GeBBS combines innovative technology, industry expertise, and a commitment to excellence to deliver measurable results for clients across the healthcare industry. We are dedicated to being a trusted healthcare partner by upholding the highest standards of quality, information security, and compliance.

At GeBBS, we foster a collaborative and growth-oriented culture where employees are empowered to develop their skills, advance their careers, and make a meaningful impact in transforming healthcare.

We are seeking a detail-oriented and experienced Medical Biller to join our team. The ideal candidate will be responsible for scrubbing claims and correcting coding denials to ensure accurate billing and compliance with healthcare regulations. This role is essential in maintaining the integrity of our coding processes and optimizing revenue cycle management.

Key Responsibilities:

• Review and scrub medical claims for accuracy and completeness before submission.
• Correct coding denials by analyzing the reasons for denial and making necessary adjustments.
• Ensure compliance with all relevant coding guidelines and regulations.
• Collaborate with healthcare providers and billing staff to resolve coding issues and improve processes.
• Maintain up-to-date knowledge of coding updates, regulations, and best practices.
• Generate reports on coding denials and trends to assist in identifying areas for improvement.
• Provide training and support to staff on coding practices and procedures as needed.

Requirements

• Candidate must be available to work Monday - Friday.
• Nextgen, scrubbing, follow up AR, payment poster, FQHC, and behavioral health knowledge.
• Texas Medicaid experience is a plus.
• Strong knowledge of ICD-10, CPT, and HCPCS coding systems.
• FQHC experience required.
• Medicare follow up proficiency strongly preferred.
• Excellent attention to detail and analytical skills.
• Strong communication and interpersonal skills.
• Ability to work independently and as part of a team.
• Proficient in Microsoft Office Suite and other relevant software applications.
• Candidates must be US based and will not require sponsorship

The Pay Range For This Role Is:

19.00 - 24.00 USD per hour (CPa Medical Billing, A GeBBS Healthcare Company)

The Pay Range For This Role Is:

19 - 24 USD per hour(CPa Medical Billing, A GeBBS Healthcare Company)