Medical Billing Specialist

Socket.dev; Connecticut; Hybrid; USD 48,000 - 60,000; Full time

Benefits offered by this job

401(k) Plan + employer contributions

Health insurance

Dental/Vision coverage

Paid time off and holidays

Learning & development programs

Job summary

UCFS seeks a Medical Billing Specialist to support the RCM team by analyzing payer denials, submitting appeals, and ensuring timely resubmissions. You will collaborate with Billing staff to resolve coding discrepancies and answer patient billing questions.

The role requires 3 years of medical billing experience, a high school diploma or GED, and familiarity with EPIC and MS Office. FQHC experience is preferred; CPC is a plus. On-site schedule typical for the operation.

Qualifications

• 3 years of medical billing experience.
• FQHC experience is highly preferred.
• Experience working in a remote setting (if applicable).

Responsibilities

• Consistently follows up on unpaid claims using WQ and aging reports.
• Resolves denials by contacting insurers, submitting appeals, and reporting trends.
• Corrects and resubmits claim rejections promptly.
• Collaborates with billing team to address coding discrepancies.
• Answers patient questions related to billing.
• Manages work queues assigned by Billing Manager.

Skills

MS Office (Outlook/Teams/Excel)

EPIC

Medical billing terminology

HIPAA/Medicaid/Medicare rules

Analytical skills

Communication skills

Teamwork

Education

High school diploma or GED

CPC certification preferred

Tools

EPIC

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.
• Answer patient questions related to billing.
• Responsible for work queues assigned by Billing Manager.

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. If you are committed to improving the health and well-being of our community, we encourage you to apply for this exciting opportunity.

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

• 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

UCFSis 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. UCFSis 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.