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Medical Billing Specialist

First Choice Health Centers, Inc.
East Hartford, CT Full Time
POSTED ON 12/1/2021 CLOSED ON 12/30/2021

What are the responsibilities and job description for the Medical Billing Specialist position at First Choice Health Centers, Inc.?

In your role as a Billing Specialist you will perform billing and collection activities for assigned providers, patient and insurance accounts. Responsible for coordinating all aspects of the billing process for multiple lines of service- medical, dental, behavioral health, optometry, podiatry and OB/GYN professionals according to policies and procedures. You will also develop and maintain effective working relationships with payers and/or clients as deemed necessary.

Duties and Responsibilities

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.

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.

Complies with all infection control policies and procedures outlined by the organization in accordance with professional, state, and federal guidelines.

Performance Standards:

Accuracy of Charge Entry posting daily is obtained: * >90% of the time*

Accuracy of Posting Payments daily is obtained: * >90% of the time*

Accuracy on Account Receivable is obtained for the following:

Medicaid: * >90% of the time*

Private: * >90% of the time*

Self-Pay: * >90% of the time*

Job Type: Full-time

Pay: $17.00 - $19.00 per hour

Benefits:

  • 401(k)
  • 401(k) matching
  • Dental insurance
  • Disability insurance
  • Employee assistance program
  • Employee discount
  • Flexible spending account
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Schedule:

  • 8 hour shift
  • Monday to Friday
  • Weekend availability

Experience:

  • ICD-10: 1 year (Preferred)

Work Location: One location

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