Remote Medical Billing Coder - Onsite in CT

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 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.