Billing Specialist

3 weeks ago

Bridgeport, United States Southwest Community Health Center Full time

**SUMMARY**: The Billing Specialist is responsible for overseeing the billing process for the patients of Southwest Community Health Center, Inc. Their duties include processing payments on behalf of our patients’ insurance carriers / self-pay patients while maintaining an organized use of time.
- Perform completion of claims to commercial payers
- Perform self-pay / patient statements
- Process claims, payments, adjustments, and corrections
- Submit billing data to the appropriate commercial insurance carriers
- Achieve maximum reimbursement for services provided based on contracted reimbursement rates
- Resolve denials from commercial and other carriers
- Structure, maintain and report on commercial trends, outstanding A/R, billing inconsistencies and errors
- Financial solutions for patients and/or payment plans of those who may need payment assistance
- Conduct duties in a professional and timely fashion
- Being both detailed and multi-task oriented
- Excellent communication skills with the capability to ensure complete teamwork as well as the ability to work independently
- Other related duties as assigned.

**Qualifications**:

- 1-2 years of experience in patient and third-party billing and automated billing.
- Knowledge of medical insurance and experience in medical billing and coding.
- Proficient with computers and capable of utilizing E.H.R and E.P.M systems effectively.
- Experiencing using EPIC is highly preferred.
- Excellent interpersonal and communication skills.

**Education and/or Experience**:

- High school diploma and/ or Certified in Medical Billing & Coding.
- Associates Degree preferred

**Physical Requirements and Work Environment**:

- The physical requirements and work environment described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- This position requires the manual dexterity sufficient to operate phones, computers, and other office equipment.
- The position requires the physical ability to kneel, bend and perform light lifting.
- This person must have the ability to write and speak clearly using the English language to convey information and be able to hear at normal speaking levels both in person and over the telephone.
- Specific vision abilities required by this job include close vision, depth perception and the ability to adjust focus. Generally, the working conditions are good with little or no exposure to extremes in health, safety hazards and/or hazardous materials.
- This person must have the ability to travel as required to work with staff.

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