Centralized Billing Specialist - Full Time - Middletown, CT
Community Health Center

Job Info

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Job Description Summary:
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 ConferMed.

Job Description:

Job Description:

The Centralized Billing Specialist position will perform the day-to-day billing and eligibility activities within Centralized Billing Team. Reviews the coding for Medical, Dental, and Behavioral Health claims as well as the medical record for coding accuracy. Candidate must be dependable, a team player, having strong interpersonal and communication skills, attention to details, the ability to multi-task, as well as strong analytical skills while being self-driven and able to manage your time to meet weekly deadlines.

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
• 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
• Other duties as assigned by Management
• Communicate daily with our providers, site operations and billing team so excellent verbal and written communication as well as strong organizational abilities are required.

Required Qualifications

• At least 1 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
• Associates degree in Health Information Management Systems, Business, or a related field

Location:
Middletown ION Building - Finance & Patient Accounts
City:
Middletown
State:
Connecticut

Time Type:
Full time

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