Medical Billing Specialist

Fair Haven Community Health Care; New Haven (CT); On-site; USD 54,000 - 75,000; Full time

Benefits offered by this job

Major medical

Dental and vision

Voluntary benefits

Paid holidays

Paid time off

Tuition reimbursement

Job summary

Fair Haven Community Health Care is seeking a Billing Specialist to maintain the professional reimbursement program and ensure compliance with current payments and rules. The role involves follow-up on outstanding accounts, handling denials, and managing correspondence with patients and insurers.

Responsibilities include submitting clean claims, data entry, posting encounters, and processing payments. A High School diploma or GED with medical billing experience is required; bilingual

Qualifications

• High School diploma or GED required with experience in medical billing.
• Knowledge of third party billing requirements, ICD and CPT codes.
• Ability to work in a team and communicate with patients and staff.
• Bi-lingual in English and Spanish preferred.

Responsibilities

• Performs billing and computer functions, including patient & thirds party billing, data entry and posting encounters.
• Prepares and submits clean claims to various insurance companies electronically or by paper.
• Follow-up of outstanding A/R all-payers and denial resolutions.
• Handle all correspondence related to insurance or patient accounts.
• Process and post all patient and/or insurance payments.

Skills

Medical billing

Data entry

Interpersonal skills

Spanish preferred

Education

High School diploma or GED

Tools

Billing software

Job description

Fair Haven Community Health Care

For over 54 years, FHCHC has been an innovative and vibrant community health center, catering to multiple generations with over 165,000 office visits across 21 locations. Guided by a Board of Directors, most of whom are patients themselves, we take pride in being a healthcare leader dedicated to delivering high-quality, affordable medical and dental care to everyone, regardless of their insurance status or ability to pay. Our extensive range of primary and specialty care services, along with evidence-based programs, empowers patients to make informed choices about their health. As we expand our reach to underserved areas, our commitment to prioritizing patient needs remains unwavering. FHCHC's mission is to enhance the health and social well-being of the communities we serve through equitable, high-quality, and culturally responsive patient-centered care.

Job purpose

Responsible for maintaining the professional reimbursement program. Ensure compliance with current payments and rules that affect billing and collection. Follow-up of any outstanding A/R all-payers, self-pay, and the resolution of denials. Manage correspondence.

Duties and responsibilities

• Performs billing and computer functions, including patient & thirds party billing, data entry and posting encounters.
• Prepares and submits clean claims to various insurance companies either electronically or by paper.
• Handle the follow-up of outstanding A/R all-payers, including self-pay and /or the resolution of denials.
• Answers question from patients, FHCHC staff and insurance companies.
• Identifies and resolves patient billing complaints.
• Prepares reviews and send patient statements.
• Handle all correspondence related to insurance or patient account, contacting insurance carriers, patients and other facilities as needed to get the maximum payments and accounts and identify issues or changes to achieve client profitability.
• Take call from patients and insurance companies regarding billing and statement questions.
• Process and post all patient and/or insurance payments.

Qualifications

• High School diploma or GED with experience in medical billing
• Knowledge of third party billing requirements, ICD and CPT codes
• Needs good interpersonal skills and ability to work as a member of the team to serve the patients.
• Accurate & detail oriented
• Ability to work independently
• Bi-lingual in English and Spanish Preferred.

Technical Qualifications

• Ability to use computer and multi-lined telephones
• Understanding of billing practice
• Oral and written Proficiency in English

What we offer:

• Major medical, dental and vision
• Voluntary benefits (AFLAC plan, STD, LTD & Life Insurance)
• Paid Holidays
• Generous Paid Time Off (PTO)
• Tuition reimbursement
• And much more

American with Disabilities Requirements:

External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job specific functions (listed within each job specific responsibility) either unaided or with the assistance of a reasonable accommodation to be determined by the organization on a case by case basis.

Fair Haven Community Health Care is an Equal Opportunity Employer.

FHCHC does not discriminate on the basis of race, religion, color, sex, age, non-disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need.