Medical Billing Specialist

This is a fully remote position, open to applicants in Connecticut.

📋 Description

• Assist the RCM department by managing and analyzing payer denials and rejections.

• Identify improvement opportunities within RCM, focusing on registration and coding processes.

• Follow up on unpaid claims utilizing work queues and aging reports.

• Resolve claim denials by reaching out to insurance companies, submitting appeals, and updating the Billing Manager on denial trends.

• Correct and resubmit rejected claims promptly.

• Collaborate with the billing team and Billing Manager to address coding-related issues and discrepancies.

• Provide exceptional customer service through verbal and written communication with patients and insurance companies.

• Address patient inquiries regarding billing.

• Manage work queues assigned by the Billing Manager.

• Stay informed about current billing regulations and best practices.

• Comply with HIPAA regulations to maintain patient confidentiality.

• Review charges, coding, payer-specific requirements, and demographic details to ensure accurate and timely claim submissions.

• Post payments and review account credits as necessary.

• Carry out additional tasks assigned by the Manager of Outpatient Billing.

⛳️ Requirements

• High school diploma or general education degree (GED) is required.

• A minimum of 3 years of experience in medical billing is necessary.

• Experience in a Federally Qualified Health Center (FQHC) is highly preferred.

• Previous experience working in a remote environment is advantageous.

• Certified Professional Coder (CPC) certification is a plus.

• Must have the ability to maintain a continuous internet connection with at least 100 Mbps download and 20 Mbps upload speeds.

• Familiarity with Payer Portals is essential.

• Proficient in software programs such as Microsoft Office Suite, particularly Outlook, Teams, and Excel.

• Experience with electronic health record systems, such as EPIC, is required.

• Understanding of medical billing procedures and terminology is important.

• Extensive knowledge of healthcare regulations and compliance standards, including HIPAA and Medicaid/Medicare rules, is required.

• Strong analytical and problem-solving abilities are necessary.

• Excellent communication and interpersonal skills are essential.

• Ability to work collaboratively in a team environment or independently as required.

🏝️ Benefits

• Annual Performance Merit Increases.

• Gain Share Program.

• Local & Online Discounts.

• 401(k) Plan with 6% Employer Contributions.

• Employer Paid Life & Disability Insurance.

• Medical/Dental/Vision Insurance coverage.

• Employee Assistance Program.

• Wellness Programs.

• Decompression Spaces.

• Generous Paid Time Off starting at 3 Weeks of Vacation.

• 4 Floating Holidays.

• 10 Sick Days.

• 8 Federal Holidays.

• Employee-Led Committees.

• NHSC Loan Repayment Opportunities.

• PSLF Eligibility.

• Career Path Ladders.

• Employer Paid Learning & Development Programs.

• Appreciation, Education, and Team-Building Events.

• Fully remote work arrangement.