Remote Medical Billing Coder

Fair Haven Community Health Care; United States; Hybrid; USD 42,000 - 68,000; Full time

Job summary

Fair Haven Community Health Care in Connecticut seeks a billing specialist responsible for managing professional reimbursement, ensuring compliance with payer rules, and optimizing cash flow. This role requires meticulous follow-up on accounts receivable, timely submission of clean claims, and resolving denials.

Responsibilities include patient inquiries, coding support, and effective communication with payers.

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.
• 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

Medical billing

Communication skills

Bilingual English/Spanish

Education

High School diploma

AAPC CPC Certification

Tools

EPIC

Billing software

Job description

Fair Haven Community Health CareFor 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.

Remote in Connecticut, must be able to commute onsite.

Job purpose

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.