Medical Billing Specialist

UCFS Healthcare; Connecticut; On-site; USD 45,000 - 60,000; Full time

Benefits offered by this job

Salary increases

401(k) with 6% match

Medical/Dental/Vision Insurance

Paid time off

Learning & development

Team events

Job summary

UCFS Healthcare is seeking a Medical Billing Specialist to support the RCM department with denial management, payer rejections, and analysis to identify improvement areas in registration and coding. The position is full-time and based in Connecticut.

You will follow up unpaid claims, resolve denials, correct rejections, and collaborate with the Billing Manager to address coding issues while upholding HIPAA and regulatory requirements.

Qualifications

• 3 years experience in medical billing
• FQHC experience is highly preferred
• Experience working in a remote setting
• CPC certification is a plus

Responsibilities

• Follow up on unpaid claims using WQ and aging reports
• Resolve claim denials via contacting insurance, submitting appeals
• Correct and resubmit claim rejections promptly
• Collaborate with Billing Manager to address coding issues
• Provide excellent customer service to patients and insurers
• Answer patient billing questions
• Post payments and review account credits

Skills

Analytical skills

Communication skills

Team collaboration

Payer portals familiarity

EPIC EHR experience

HIPAA/regulatory knowledge

Microsoft Office (Outlook/Teams/Excel)

Medical billing terminology

Education

High school diploma or GED

CPC certification

Tools

EPIC EHR

Payer Portals

MS Office Suite (Outlook/Teams/Excel)

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. 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

• 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.

While a human recruiter reviews candidates and makes all final hiring and interview decisions, these automated platform tools serve as a material factor in our initial screening pipeline. These systems process data from your submitted resume, application, and public platform profiles. For inquiries or questions regarding the use of this technology, 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.