[Hiring] Medical Billing Specialist @UCFS Healthcare

Role Description

UCFS strives to use person-centered care to improve the health and well-being of everyone in our community. Share in our vision of being Eastern CT’s best choice for patient-centered healthcare!

We are currently seeking a Medical Billing Specialist who supports the RCM department through the management and analysis of payer denials and rejections. Assists in the identification of areas for improvement within RCM such as registration and coding.

UCFS Hours of Operation: Open 8:00am - 7:00pm; Hours Vary By Day & Location

Expected Schedule: FT, 40 hours/week; Monday through Friday

Outline of Duties and Responsibilities:

• Consistently follows up on all unpaid claims utilizing various WQ and aging reports.
• Resolves claim denials via contacting insurance, submitting appeals, and informing Billing Manager of denial trends.
• Corrects and resubmits claim rejections in a timely manner.
• Collaborates with the billing team and Billing Manager to address coding related issues and discrepancies.
• Provide excellent customer service in verbal or written interaction with patients and insurance companies.
• Answer patient questions related to billing.
• Responsible for work queues assigned by Billing Manager.
• Maintain knowledge of current billing rules and best practices.
• Adhere to all HIPAA regulations and maintain patient confidentiality.
• Ensures accurate and timely claim submission by reviewing charges, coding, payer specific requirements, demographic information as needed.
• Posts payments and reviews account credits as needed.
• Other duties as assigned by Manager of Outpatient Billing.

Qualifications

• High school diploma or general education degree (GED)
• 3 years experience in medical billing
• FQHC experience is highly preferred
• Experience working in a remote setting

Requirements

• CPC is a plus
• Ability to continuously access an internet connection with 100 Mbps download and 20 Mbps upload speeds
• Familiarity with Payer Portals
• Familiarity with software programs such as Microsoft Office Suite, especially in Outlook, Teams, and Excel
• Experience with electronic health record systems such as EPIC
• Familiarity with medical billing and terminology
• Comprehensive knowledge of healthcare regulations and compliance standards, including HIPAA and Medicaid/Medicare rules
• Strong analytical and problem-solving skills
• Demonstrated excellent communication and interpersonal skills
• Ability to work collaboratively in a team environment or individually as needed

Benefits

• Yearly Performance Merit Increases; Gain Share Program; Local & Online Discounts
• 401(k) Plan + 6% Employer Contributions; Employer Paid Life & Disability Insurance
• Medical/Dental/Vision Insurance; Employee Assistance Program; Wellness Programs; Decompression Spaces
• Generous Paid Time Off Starting at 3 Weeks 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