Claims Processing Expert

3 weeks ago


New Haven, Connecticut, United States Fair Haven Community Health Care Full time
We are seeking a skilled Medical Billing Specialist to join our team at Fair Haven Community Health Care. As a medical billing specialist, you will play a critical role in ensuring timely and accurate reimbursement from insurance companies. Your expertise will be essential in helping us achieve maximum payments and reduce accounts receivable. If you are a results-driven professional with a passion for medical billing, we encourage you to apply for this exciting opportunity.

About the Role:
This position requires strong analytical and problem-solving skills, as well as excellent communication and interpersonal skills. The ideal candidate will have a high school diploma or equivalent, with experience in medical billing and knowledge of third-party billing requirements, ICD and CPT codes. A bi-lingual skill in English and Spanish is an asset.

Job Responsibilities:
- Perform billing and computer functions, including patient & third party billing, data entry and posting encounters.
- Prepare and submit clean claims to various insurance companies either electronically or by paper.
- Handle the follow-up of outstanding A/R all-payers, including self-pay and/or the resolution of denials.
- Answer questions from patients, FHCHC staff and insurance companies.
- Identify and resolve patient billing complaints.
- Prepare reviews and send patient statements.
- Handle all correspondence related to insurance or patient account, contacting insurance carriers, patients and other facilities as needed to get the maximum payments and accounts and identify issues or changes to achieve client profitability.
- Take call from patients and insurance companies regarding billing and statement questions.
- Process and post all patient and/or insurance payments.

Salary: $48,000 - $58,000 per year, depending on experience.

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