Medical Biller: Denials & Claims Specialist

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 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.