Billing Specialist (healthcare)

Job Description

Job Description

First Choice Health Centers is looking for a Billing Specialist to perform billing and claim processing and resolution activities for assigned providers, patients and insurance accounts.

This individual will be responsible for coordinating all aspects of the billing process for multiple lines of service - medical, dental behavioral health, optometry, podiatry and OB / GYN.

This position is located in East Hartford, CT.

Status : Full Time, 40 hours per week, onsite

Flexible schedule available; Primarily Monday through Friday, 8 : 00 am to 4 : 30 pm (Can work a late night on Tuesday, 8 : 00 am to 6 : 00 pm and work 8 : 00 am to 3 : 00 pm on Friday, if desired).

Why First Choice?

We are committed to you! We offer great training, great benefits, career growth and employee well-being!

• 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 (eligible after 6 months of employment)
• Company paid Life insurance
• Voluntary Term, Whole Life, Accident and Critical Care Insurance
• Complimentary premium Calm membership for you and 5 additional memberships you can share (#1 mental health app)
• Recognition programs
• The hourly range for this position is $17.50 - $22 / hour. Pay is based on several factors including but not limited to work experience certifications, etc.

For more than 25 years First Choice Health Centers has been a leading nonprofit human services organization that breaks down barriers to care helping individuals and communities live healthier lives.

To learn more about First Choice Health Centers, visit us at firstchc.org.

Education, Experience and Training :

Education :

College level education in Accounting, Finance, Medical Billing or Healthcare (can be substituted on a year by year basis for experience)

Experience :

• Two years of collections experience from multispecialty group for physician billing preferred.
• Minimum of two (2) years of billing / collections experience in a healthcare or insurance environment.
• Minimum of two years working Medicaid, Medicare and Private Insurance
• Minimum of two years working with aged A / R and / or denials
• Minimum of two years working with electronic billing
• Experience with and knowledge of Federally Qualified Health Centers (FQHC) is preferred
• Experience working with electronic health record systems
• Experience with ICD-9 / 10 and CPT coding is highly desired
• Knowledge of healthcare carriers and payer requirements

Standard Job Duties :

• Review unpaid accounts to determine status and appropriate action required from work lists generated from practice management system
• Contact payers, use facility correspondence via website, phone and / or correspondence, regarding reimbursement for unpaid accounts over thirty (30) days or as assigned
• Receive, review, research and respond to correspondence from insurance companies, attorneys and patients
• Work with other billing operations staff to enhance collection process to ensure timely reimbursement on accounts
• 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.

First Choice is a drug-free workplace. Candidates are required to pass a drug test, including THC testing, before beginning employment.

First Choice is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.

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