Remote Medical Billing Coder

Fair Haven Community Health Care; New Haven (CT); Hybrid; USD 42,000 - 66,000; Full time

Job summary

Fair Haven Community Health Care seeks a detail-oriented Medical Billing Specialist to manage payer AR, claim submissions, and patient communications in a CT environment.

The role requires CPC certification, ICD/CPT knowledge, bilingual English/Spanish, and EPIC experience. You will collaborate with clinicians and FHCHC staff to optimize billing and ensure accurate, timely payments.

Qualifications

• High School diploma or GED with experience in medical billing is required.
• A certified professional coding certificate (CPC AAPC), knowledge of third party billing requirements, ICD and CPT codes, and billing practices are also required.
• Excellent interpersonal and communication skills and ability to work as a member of the team to serve the patients is essential.
• Must be detail oriented and have the ability to work independently.
• Bi-lingual in English and Spanish highly preferred.
• FQHC/EPIC experience is desirable.

Responsibilities

• Follow up of any outstanding A/R all-payers, self-pay, and the resolution of denials.
• 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 and manage correspondence.
• 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.
• Reviewing clinical documentation and provide coding support to clinical staff as needed.

Skills

Interpersonal skills

Communication skills

Detail oriented

Team player

Bilingual English/Spanish

FQHC experience

Education

High School diploma or GED

CPC AAPC certification

Tools

EPIC experience

Job description

Job Purpose

Remote in Connecticut, must be able to commute onsite. Responsible for maintaining the professional reimbursement program. Ensure compliance with current payments and rules that impact billing and collection.

Duties and Responsibilities

• Follow-up of any outstanding A/R all-payers, self-pay, and the resolution of denials
• 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 and manage correspondence.
• 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.
• Reviewing clinical documentation and provide coding support to clinical staff as needed.

Qualifications

• High School diploma or GED with experience in medical billing is required.
• A certified professional coding certificate (CPC AAPC), knowledge of third party billing requirements, ICD and CPT codes, and billing practices are also required.
• Excellent interpersonal and communication skills and ability to work as a member of the team to serve the patients is essential.
• Must be detail oriented and have the ability to work independently.
• Bi-lingual in English and Spanish highly preferred.
• FQHC/EPIC experience is desirable.

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.