Medical Billing Specialist

Connecticut Institute For Communities, Inc.; Danbury (CT); On-site; USD 42,000 - 62,000; Full time

Benefits offered by this job

Health care coverage

Retirement program

Job summary

Connecticut Institute For Communities, Inc. (CIFC) Center seeks a full-time Medical Billing Specialist in Danbury, CT to manage high-volume billing for insurances and patients using our billing software. The role includes posting payments, researching denials, following up on unpaid claims, and occasionally assisting with administrative duties.

The position requires CPC certification, ICD-9/10 experience, and prior medical billing office work. Multilingual capabilities are preferred.

Qualifications

• Minimum High School Diploma; AA preferred.
• Previous medical billing office experience required.
• ICD 9/10 experience.
• Certified Professional Coder (CPC) required.
• Applicants with multilingual capabilities (English, Spanish, and/or Portuguese) preferred.

Responsibilities

• Resolve all denials in collaboration with providers and front desk.
• Understand and operate computerized billing software.
• Process EOBs, payments, denials, and appeals.
• Follow up on unpaid claims and patient accounts and research accounts receivable.
• Coordinate with insurers and patients on billing questions.

Skills

Medical billing

Accounts receivable

Denials resolution

Education

High School Diploma

AA preferred

Job description

Connecticut Institute For Communities, Inc. (CIFC) Center seeks a full-time (1.0 FTE) Medical Billing Specialist

High volume, community health center Billing Department position will perform manual and electronic billing to all insurances and patient statements, using computerized patient management billing software. This position is responsible for acquiring information for claims processing and posting payments and EOB denials. To assure timely reimbursement to the Center and manage the accounts receivable, the Specialist will review and research past due accounts, follow-up on unpaid claims and re-bill if necessary, and make calls to insurers on unpaid accounts. Communication with patients and assisting with other Center administrative duties may be required occasionally.

Essential Job Responsibilities

• Responsible for working with colleagues (ie: providers, front desk) to resolve all denials.
• Responsible for understanding computerized billing software.
• Process EOB payments, denials and appeals.
• Follow up on unpaid claims and patient accounts and perform necessary research and functions toward collection.
• Understand the details of all accounts receivable (Medicare, private insurance, self-pay, etc.).
• Receipt of insurance company and patient inquiries regarding statement and billing questions.
• Maintain a filing system for all billing related documents to ensure efficient retrieval.
• Advise regarding Center procedures manual.
• Assist in other administrative duties as needed.
• Maintain positive working relationship with all staff in all units.
• Other duties as assigned.
• Participate as appropriate in-staff and training sessions.

Requirements

Qualifications Minimum High School Diploma, AA preferred, previous medical billing office experience required, ICD 9/10 experience, Certified Professional Coder (CPC) required, experience in Behavioral Health billing/coding preferred. Applicants with multiple language capabilities (English, Spanish, and/or Portuguese) are preferred.

Competitive compensation, plus comprehensive fringe benefits package including health care coverage and retirement program. CIFC is a recognized National Health Corps Site and qualifies for PSLF.