Medical Billing Specialist

DaMar Staffing; Weston (CT); On-site; USD 25,000 - 32,000; Full time

Job summary

Connecticut Institute for Communities, Inc. (CIFC) Center is seeking a full-time Medical Billing Specialist to join a high-volume Billing Department handling manual and electronic claims processing, posting payments, and researching unpaid accounts to ensure timely reimbursement.

Responsibilities include resolving denials, using billing software, following up on claims, and assisting with administrative duties while maintaining organized records and collaborating with staff.

Qualifications

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

Responsibilities

• Resolve all denials with providers and front desk collaboration.
• Understand and use computerized billing software.
• Process EOB payments, denials and appeals.
• Follow up on unpaid claims and patient accounts and perform necessary research.
• Research and collect on accounts receivable across Medicare, private insurance, and self-pay.
• Respond to inquiries from insurers and patients regarding statements and billing questions.
• Maintain a filing system for all billing documents.
• Assist in other administrative duties as needed.
• Maintain positive working relationship with all staff in all units.
• Participate in staff trainings.

Skills

Medical billing

ICD-9/10 experience

Certified Professional Coder (CPC)

Behavioral Health billing

Multilingual (English/Spanish/Portugu

Education

High School Diploma

AA degree preferred

Tools

Billing software

Job description

Connecticut Institute for Communities, Inc.

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.

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.

Compensation details:

18-23 Hourly Wage