Moses / Weitzman Health System

Job Description Summary:

Job Description:

Centralized Billing Specialist

This is the growth opportunity for you, if you:

• Have extensive customer service experience
• Possess a positive energetic attitude
• Are extremely organized and pay great attention to detail
• Possess excellent communication skills and able to multi-task with strong processing skills in our fast paced environment
• Have a strong interest in health policy/public health
• Are able to work effectively as a member of a team

As a Centralized Billing Specialist at Community Health Center, Inc., you will:

• Perform all aspects of billing Medical, Dental, and Behavioral Health claims
• Responsible for entering codes and reconciling charges in a timely and accurate manner
• Retain the required billing process for each discipline
• Perform necessary rebilling or adjusting on accounts
• Organize work load to achieve a high level of productivity
• Cross train within the department to provide coverage when necessary
• Verify commercial insurance eligibility for an assigned site daily
• Keep management informed of matters regarding charge entry
• Review data, such as history and extent of disease, diagnostic procedures and treatment for completeness, accuracy and compliance with regulations
• Maintain and respect the confidentiality of PHI (Protected Health Information) in accordance with insurance collection guidelines, corporate policy and all HIPAA (Health Insurance Portability and Accountability Act) mandates. Candidate will have access to PHI based on the HIPAA minimum necessary standards
• Adhere to all corporate compliance mandates and guidelines
• Follow internal protocols regarding departmental communications
• Participate in proactive team efforts to achieve departmental and company goals
• Communicate daily with our providers, site operations and billing team so excellent verbal and written communication as well as strong organizational abilities are required.
• Identify, compile and code patient data, using ICD-10 and CPT and other standard classification coding systems
• Performs necessary rebilling or adjusting on accounts Cross trains within department to provide coverage when necessary Assists with special projects as needed
• Other duties as assigned by Management

Required Qualifications

• At least 2 year experience in healthcare billing and coding
• AAPC / AHIMA certified; Certified Professional Coder (CPC) or Certified Outpatient Coding (COC); or a diploma in medical billing.
• Proficient in Microsoft Excel, Word, Access and electronic e-mail systems.
• In-depth knowledge of CPT and ICD-10 codes, Medicare and Medicaid billing rules, insurance reimbursement methods, the claims appeal process.

Preferred Qualifications

• Associates degree in Health Information Management Systems, Business, or a related field
• Have AAPC / AHIMA certification; Certified Professional Coder (CPC) or Certified Outpatient Coding (COC)

Physical Requirements/Work Environment

Minimal physical effort.  Works primarily on computer and phone.

Location: Remote or In-Person | Middletown ION Building - Finance & Patient Accounts

City: Middletown

State: Connecticut

Time Type: Full time

This Position is available for remote work.

Organization Information:

Community Health Center, Inc. (CHC) with offices in Connecticut, Colorado and California, is one of the country’s most creative and dynamic providers of primary medical, dental, and behavioral health services, and a leader in practice-based research, health professionals training, and use of innovative technologies to advance health and healthcare. CHC is designated as a federally qualified health center and a patient-centered medical home by HRSA, the Joint Commission, and NCQA, respectively. We deliver more than 500,000 patient visits per year from primary care hubs and community clinics across the state of CT, all connected by technology and common standards for quality. We employ several hundred medical, dental, and behavioral health providers who are engaged in practice, teaching, and research. Our Weitzman Institute is devoted to research and practice transformation and is recognized around the country as one of the premier research institutes focused on improving health care and health outcomes for special and vulnerable populations. In addition, the organization has developed three wholly owned subsidiaries from the original pilot developments within the Weitzman Institute: the National Nurse Practitioner Residency and Fellowship Training Consortium (NNPRFTC), the National Institute for Medical Assistant Advancement (NIMAA), and the ConferMED Network.

Time Type:

Full time