Patient Accounts Representative

Community Mental Health Affiliates, Inc. (CMHA); New Britain (CT); On-site; USD 23,000 - 32,000; Full time

Benefits offered by this job

Medical Insurance

Dental Insurance

Vision Insurance

403(b) Retirement

11 holidays

Wellbeing days

PTO up to 24 days

Life Insurance

EAP program

Tuition discounts

CEUs access

Job summary

Community Mental Health Affiliates, Inc. (CMHA) in New Britain, CT is hiring a Patient Accounts Representative to coordinate billing and accounts receivable functions.

The role includes charge entry, claim submission, eligibility verification, and resolving insurance denials to maximize third-party revenue. This position requires a High School diploma or GED, with college courses in accounting preferred, and at least one year of billing experience.

Qualifications

• At least 1 year of billing or claims processing experience.
• Proficient with Microsoft Office (Word, Outlook, Excel).
• Experience with financial-management systems and EMR/billing software.
• Knowledge of HIPAA regulations.

Responsibilities

• Post daily receipts including client and insurance payments, denials, and delays.
• Monitor EMR queues to resolve eligibility and billing discrepancies.
• Research and resolve past-due balances with clients and third-party payers.
• Review EOBs and correct claim submission errors.
• Review Aging Reports and advise on write-offs with Billing Manager.
• Respond to billing inquiries with Front Desk & Finance.
• Manage Returned mail cases and update EMR for billing accuracy.
• Perform other duties as assigned.

Skills

Billing/claims experience

Microsoft Office

EMR systems familiarity

HIPAA knowledge

Education

High School Diploma / GED

Accounting coursework preferred

Tools

Billing software

EMR systems

Web-based applications

Job description

Why CMHA?

Community Mental Health Affiliates, Inc. (CMHA) is a private non‑profit treatment provider headquartered in New Britain, with seven locations throughout the city and in Waterbury. We partner with clients and the community to promote recovery from mental illness and substance use, treating more than 7,500 adults and children each year. CMHA is Connecticut’s first fully Joint Commission accredited Behavioral Health Home and is a SAMHSA Certified Community Behavioral Health Clinic (CCBHC). Visit cmhacc.org to learn more.

Internal mobility and career pathing is a focus at CMHA with many employees growing from individual contributors to leaders.

CMHA is looking to hire a Patient Accounts Representative. This position will be located in New Britain, CT.

Compensation Range: The salary range for this position starts at $20.00 per hour.

Summary

Responsible for coordinating billing and accounts receivable functions, including charge entry, claim submission, eligibility and benefits verification, cash and credit card payment posting, and insurance denials resolution, to maximize third party revenue.

Qualifications

Essential Responsibilities and Target Outcomes

• Posts daily receipts including client and insurance payments, denials, and payment delays to facilitate timely follow‑up and resolution.
• Monitor daily & weekly EMR work queues to research and resolve all eligibility and billing discrepancies.
• Research and resolve past‑due balances through communication with clients and third‑party payers.
• Review electronic Explanation of Benefits (EOB’s) reports and correct electronic claim submission errors.
• Review monthly Aging Reports for outstanding insurance balances and make recommendations to Billing Manager for Insurance and Self‑Pay write‑offs.
• Respond to billing‑related inquiries and system issues in collaboration with Front Desk & Finance.
• Research, manage and correct Returned mail cases and update Patient (EMR) for accurate billing.
• Perform other related duties as assigned.

Education

High School Diploma or GED required; College‑level coursework or training in accounting preferred.

Experience

• Minimum of one year of experience in billing or claims processing, including insurance verification using web base applications, claim submission, and payment posting preferred.
• Intermediate to advanced proficiency with Microsoft Office products including Word, Outlook, Excel.
• Experience with financial‑management systems, billing software, and integrated Electronic Medical Record (EMR) systems.

Competencies: Behavioral Skill Sets

• Working knowledge of the Health Insurance Portability and Accountability Act (HIPAA) Privacy and Security regulations.
• Demonstrated understanding of HCFA and UB‑04 clean claim formats.
• Comprehensive knowledge of all third‑party contract terms and requirements, including contract periods, authorization process, appropriate billing codes, reimbursement rates, billing timelines, and dispute resolution mechanisms.
• Maintain strict confidentiality and safeguard client clinical and financial information and records in a manner consistent with professional and CMHA codes of ethics.
• Awareness and sensitivity to all types of issues related to diverse client population.
• Apply computer knowledge to utilize web tools.

Benefits

We care about our employees by offering benefits that strike a harmonious work‑life balance. We also care about your future. CMHA offers:

• Medical, Dental, and Vision Insurance packages
• 403(b)-retirement savings plan with CMHA matching starting after 1 year of service
• 11 observed holidays
• 3 Wellbeing days off on a Friday throughout the year to extend a long weekend
• 2 CHMA/Personal days to use throughout the calendar year
• Up to 24 days of PTO that increases with years of service
• Paid agency closure between Christmas and New Year’s (except 24/7 programs) *must be approved annually
• Company paid Life Insurance and Long‑Term Disability
• A comprehensive Employee Assistance Program (EAP) that offers counseling, coaching, and wellness resources for staff as well as members of their household
• Higher education tuition discounts at participating schools through the Alliance’s academic partnerships
• Free ongoing professional development opportunities and continuous access to Continuing Education Units (CEUs), featuring comprehensive training in Evidence‑Based Practices, such as EMDR, DBT, and CBT.
• Employee discounts for shopping, the New Britain YMCA, travel, and entertainment
• Free employee subscriptions to the Wellable app
• Annual Company Picnic
• CMHA‑sponsored Loan Reimbursement Program and Scholarship Program

Free Student Loan Wellness for eligible employees and their family members access to:

• Student loan consolidation and refinancing
• Loan payoff projection dashboard
• Coaching and support via chat, email, and phone
• College cost calculator
• College financial planning
• 3 NHSC‑approved sites for federal student loan repayment

Public Service Loan Forgiveness (PSLF) Enhancement for eligible employees' access to:

• Automated Public Service Loan Forgiveness (PSLF) form management for past and present employers
• Automated reminders for annual (PSLF) recertifications to help you stay on track
• Resources and ongoing communications that make PSLF understandable
• The opportunity to receive the national average of $72,000.00 in forgiveness

Community Mental Health Affiliates is an Equal Opportunity Employer except in the case of a bon fide occupation qualification or as otherwise permitted or required by law, does not discriminate of the basis of race, color, age, disability, sex, childbirth (including pregnancy) or related medical condition including by not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familiar status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws.

Any individual needing assistance in completing an online application should contact CMHA's Human Resources Department at [e-mail].