First Choice Health Centers, Inc. · 2 weeks ago
Billing Specialist (Outpatient Clinic)
East Hartford, CT
Full-time
Onsite
Entry, Mid Level
$18/hr - $24/hr
2+ years expFirst Choice Health Centers is a leading nonprofit human services organization focused on breaking down barriers to care. They are seeking a Billing Specialist to manage billing and collection activities for various healthcare services, ensuring accurate processing and compliance with regulations.
DentalHealth CareHealth DiagnosticsHospitalWellness
Responsibilities
Preparing and submitting billing data and medical claims to insurance companies
Ensuring accurate patient information and up-to-date medical records
Maintaining billing software, updating rate changes, and generating financial reports
Resolving billing discrepancies and appealing denied claims
Ability to assess financial summaries and spot discrepancies for accurate billing
Prioritizing tasks to stay organized and meet deadlines
Checking each insurance payment for accuracy and compliance with contract discount
Calling insurance companies regarding any discrepancy in payments if necessary
Identifying and billing secondary or tertiary insurances
Answering patients' billing and insurance inquiries, as well as handling complaints
Reviewing accounts for possible assignment and making recommendations to the Billing Supervisor, also preparing information for the collection agency
Maintaining strictest confidentiality; adhering to all HIPAA guidelines and regulations
Processing claims and following up with insurance companies
Reviewing patient bills for accuracy and completeness and obtaining any missing information
Following up on unpaid claims within the standard billing cycle timeframe
Review, research and respond to correspondence from insurance companies, attorneys and patients
Contact patients as needed to collect appropriate information or to collect patient balances
Identify, verify and document account adjustments according to established policy and procedures
Ensure service level and productivity requirements are met as it relates to reimbursement of accounts, resolution of tasks and response to inquiries etc
Maintain positive working relationships with internal and external customers by providing superior customer service
Utilize Medical and Billing Terminology
Adhere to Clean Claims Act and HIPAA policy and procedures
Qualification
Required
Knowledge of accounting; math skills
Knowledge of medical and billing terminology
Knowledge of EHR and Electronic Billing
Knowledge of 270/271 and 835/837
College level education in Accounting, Finance, Medical Billing or Healthcare can be substituted with work experience
Graduate of an Accredited Medical Assistant Program
2 + years of billing/collections experience in a healthcare of insurance environment
Knowledge of healthcare carriers and payer requirements
Familiarity with billing software like eClinicalWorks
Preparing and submitting billing data and medical claims to insurance companies
Ensuring accurate patient information and up-to-date medical records
Maintaining billing software, updating rate changes, and generating financial reports
Resolving billing discrepancies and appealing denied claims
Ability to assess financial summaries and spot discrepancies for accurate billing
Prioritizing tasks to stay organized and meet deadlines
Checking each insurance payment for accuracy and compliance with contract discount
Calling insurance companies regarding any discrepancy in payments if necessary
Identifying and billing secondary or tertiary insurances
Answering patients' billing and insurance inquiries, as well as handling complaints
Reviewing accounts for possible assignment and making recommendations to the Billing Supervisor, also preparing information for the collection agency
Maintaining strictest confidentiality; adhering to all HIPAA guidelines and regulations
Processing claims and following up with insurance companies
Reviewing patient bills for accuracy and completeness and obtaining any missing information
Following up on unpaid claims within the standard billing cycle timeframe
Review, research and respond to correspondence from insurance companies, attorneys and patients
Contact patients as needed to collect appropriate information or to collect patient balances
Identify, verify and document account adjustments according to established policy and procedures
Ensure service level and productivity requirements are met as it relates to reimbursement of accounts, resolution of tasks and response to inquiries etc
Maintain positive working relationships with internal and external customers by providing superior customer service
Utilize Medical and Billing Terminology
Adhere to Clean Claims Act and HIPAA policy and procedures
Preferred
Experience with ICD-9/10 and CPT coding is highly desired
Benefits
Medical, Dental and Vision Insurance for employees working 30 hours or more
20 days of Vacation, 8 Paid Holidays, and 2 Floating Holidays per year
Retirement savings program, including a safe harbor 401k with up to a 4% company match after 6 months of employment
Company paid Life insurance
Voluntary Term, Whole Life, Accident and Critical Care Insurance
Complimentary premium Calm Health membership (#1 mental health app)
Recognition programs
Paid Basic Life Support certification with renewal every 2 years.
Company
First Choice Health Centers, Inc.
First Choice Health Centers’ mission as a community health center providing integrated care is to break down the social and economic barriers to wellness and healthy living while extending the viable and productive lives of those we serve.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Sean Murphy
Chief Financial Officer
Heidi Joseph, DNP, MSN, RN
Chief Operating Officer
Company data provided by crunchbase