Medical Billing Specialist

United Community & Family Services, Inc.; Connecticut; On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Health Insurance

401(k) contributions

Paid Time Off

Wellness Programs

Learning & Development

Job summary

United Community & Family Services, Inc. (UCFS) seeks a Medical Billing Specialist to support the RCM department by managing payer denials, rejections, and related analyses. The role focuses on improving registration and coding processes and ensuring timely, compliant claim submissions.

Responsibilities include following up on unpaid claims, resolving denials, posting payments, and maintaining HIPAA compliance. The position is full-time, Monday–Friday, with hours varying by location.

Qualifications

• High school diploma or GED required.
• 3 years experience in medical billing.
• FQHC experience preferred.
• Experience in a remote setting preferred.

Responsibilities

• Follow up on unpaid claims using WQ and aging reports.
• Resolves denials by contacting insurers and submitting appeals.
• Corrects and resubmits claim rejections promptly.
• Collaborates with Billing Manager on coding issues.
• Provide excellent patient and insurer service regarding billing.

Skills

Analytical skills

Communication

Team collaboration

Payer portals

Microsoft Office

EPIC

HIPAA knowledge

Billing terminology

Education

High school diploma or GED

CPC certification

Tools

EPIC EHR

Job description

Description

UCFS strives to use person-centered care to improve the health and well-being of everyone in our community. Share in our vision of being Eastern CT’s best choice for patient-centered healthcare!

We are currently seeking a Medical Billing Specialist who supports the RCM department through the management and analysis of payer denials and rejections. Assists in the identification of areas for improvement within RCM such as registration and coding.

UCFS Hours of Operation: Open 8:00am - 7:00pm; Hours Vary By Day & Location

Expected Schedule: FT, 40 hours/week; Monday through Friday

Outline of Duties and Responsibilities:

• Consistently follows up on all unpaid claims utilizing various WQ and aging reports.
• Resolves claim denials via contacting insurance, submitting appeals, and informing Billing Manager of denial trends.
• Corrects and resubmits claim rejections in a timely manner.
• Collaborates with the billing team and Billing Manager to address coding related issues and discrepancies.
• Provide excellent customer service in verbal or written interaction with patients and insurance companies.
• Answer patient questions related to billing.
• Responsible for work queues assigned by Billing Manager.
• Maintain knowledge of current billing rules and best practice
• Adhere to all HIPAA regulations and maintain patient confidentiality.
• Ensures accurate and timely claim submission by reviewing charges, coding, payer specific requirements, demographic information as needed.
• Posts payments and review account credits as needed.
• Other duties as assigned by Manager of Outpatient Billing.

Why UCFS?

Our team is passionate about the services we provide and is committed to making a difference for our clients and community. At UCFS, a Federally Qualified Health Center, we specialize in integrated care which means having access to essential services to meet the complex needs of those we serve. We work collaboratively across programs at our agency to remove barriers and streamline access to services including behavioral health services, primary care, dental, case management and more.

Requirements

Minimum Education and Experience

• High school diploma or general education degree (GED)
• 3 years experience in medical billing
• FQHC experience is highly preferred
• Experience working in a remote setting

Minimum Certificates, Licenses, Registrations

• CPC is a plus

Minimum Skills and Abilities

• Ability to continuously access an internet connection with 100 Mbps download and 20 Mbps upload speeds
• Familiarity with Payer Portals
• Familiarity with software programs such as Microsoft Office Suite, especially in Outlook, Teams, and Excel
• Experience with electronic health record systems such as EPIC
• Familiarity with medical billing and terminology.
• Comprehensive knowledge of healthcare regulations and compliance standards, including HIPAA and Medicaid/Medicare rules.
• Strong analytical and problem-solving skills.
• Demonstrated excellent communication and interpersonal skills
• Ability to work collaboratively in a team environment or individually as needed

UCFS Healthcare Offers a Competitive Benefits & Perks Package to Our Hardworking Team Which Can Include:

• Financial - Yearly Performance Merit Increases; Gain Share Program; Local & Online Discounts
• Income Security - 401(k) Plan + 6% Employer Contributions; Employer Paid Life & Disability Insurance
• Health & Wellness - Medical/Dental/Vision Insurance; Employee Assistance Program; Wellness Programs; Decompression Spaces
• Time Off - Generous Paid Time Off Starting at 3 Weeks Vacation, 4 Floating Holidays, 10 Sick Days, 8 Federal Holidays
• Growth - Employee-Led Committees; NHSC Loan Repayment Opportunities; PSLF Eligibility; Career Path Ladders; Employer Paid Learning & Development Programs
• Fun - Appreciation, Education, and Team-Building Events

Automated Employment Decision Technology (AEDT) Notice (CT CART Act):

To assist our recruiting team, this application process may use the algorithmic features of LinkedIn (Candidate Fit / Top Match), and Handshake (Talent List Sorting), as well as on other platforms we may use. We use these automated technologies specifically to prioritize incoming applications, sort applicant lists, and match candidate profiles based on how closely provided skills, job history, experience, abilities align with our job criteria.

Please contact us at [e-mail]

EEO Policy:

UCFS is strongly committed to a workplace environment that respects, appreciates and values employee differences and similarities. By providing and supporting an enriching work culture, UCFS will continue to better serve our communities and provide quality patient, client, and resident care and services. UCFS is an employment at-will organization and an equal opportunity employer committed to maintaining a work and learning environment free from discrimination on the basis of sex, race, color, religion, national origin, pregnancy, gender identity, sexual orientation, marital/civil union status, ancestry, place of birth, age, citizenship status, veteran status, political affiliation, and genetic information or disability, as defined and required by applicable state and federal laws. Additionally, UCFS prohibits retaliation against an applicant or employee because they have engaged in protected activity under the statutes prohibiting discrimination in the workplace.