Medical Billing Specialist

Job Description

Job Description

Description:

Connecticut Institute For Communities, Inc. (CIFC) Center seeks a full-time (1.0 FTE) Medical Billing Specialist

High volume, community health center Billing Department position will perform manual and electronic billing to all insurances and patient statements, using computerized patient management billing software. This position is responsible for acquiring information for claims processing and posting payments and EOB denials. To assure timely reimbursement to the Center and manage the accounts receivable, the Specialist will review and research past due accounts, follow-up on unpaid claims and re-bill if necessary, and make calls to insurers on unpaid accounts. Communication with patients and assisting with other Center administrative duties may be required occasionally.

Essential Job Responsibilities:

1. Responsible for working with colleagues (ie: providers, front desk) to resolve all denials.

2. Responsible for understanding computerized billing software.

3. Process EOB payments, denials and appeals.

4. Follow up on unpaid claims and patient accounts and perform necessary research and functions toward collection.

5. Understand the details of all accounts receivable (Medicare, private insurance, self-pay, etc.).

6. Receipt of insurance company and patient inquiries regarding statement and billing questions.

7. Maintain a filing system for all billing related documents to ensure efficient retrieval.

8. Advise regarding Center procedures manual.

9. Assist in other administrative duties as needed.

10. Maintain positive working relationship with all staff in all units.

11. Other duties as assigned.

12. Participate as appropriate in-staff and training sessions.

Requirements:

Qualifications: Minimum High School Diploma, AA preferred, previous medical billing office experience required, ICD 9/10 experience, Certified Professional Coder (CPC) required, experience in Behavioral Health billing/coding preferred. Applicants with multiple language capabilities (English, Spanish, and/or Portuguese) are preferred.

Competitive compensation, plus comprehensive fringe benefits package including health care coverage and retirement program. CIFC is a recognized National Health Corps Site and qualifies for PSLF.