Billing Specialist

Non-exempt, Full Time Position

 

Date Posted: May 2022

Department: Billing 

Since 1970, Community Health Services has existed to provide comprehensive health care services to the residents of Hartford and Windsor. We were made for the community, by the community, to offer a full spectrum of services to include medical, behavioral health care, dental care, a full-service pharmacy and more. Our goal is to offer our patients a medical home; a place where they can come for all of their needs; a place where the clinical staff know them by their first name. Our dedicated staff demonstrate the good we can do on a daily basis when we provide quality care with dignity to each and every individual. We want to help our patients get all of the health care they need -- when they need it -- so they may too live a healthier and happier life.

Community Health Services, Inc. is searching for a detail-oriented, self-starting individual for the Billing Specialist opportunity!

 

Come join a fun team with a supportive and high-energy culture with professionals passionate about revenue cycle management! The Billing Specialist generates revenue by making paying arrangements, collecting accounts, monitoring and pursing delinquent accounts.

The successful candidate will:
  • Possess a high school diploma or equivalent

  • Two (2) years of billing/coding experience in a healthcare setting

  • Intermediate proficiency in Microsoft Word and Excel

  • Extensive experience managing claims via an electronic practice management system

  • Prepare and submit electronic claims to various insurance companies and invoices for grant submissions, resolving any internal system edits, clearinghouse claim errors, and insurance claim edits

  • Ensure accuracy and completeness of outgoing claims for reimbursement by reviewing CPT, ICD-10, and HCPCS coding submitted by providers and applying any applicable modifiers

  • Update, as needed, patient demographics and payer information within the practice management system

  • Evaluate denials of payment to determine most appropriate strategy for resolving claims

  • Research and maintain familiarity with billing guidelines as established by third-party payers and grant contracts; create and maintain access to insurance portals including continuing to seek reimbursement from the payer through research of payer guidelines or writing off to department guidelines.

  • Assist patients in person or over the telephone with their outstanding balances, co-payments, fee agreements, and sliding fee arrangements

  • Research and coordinate resolution of patient concerns regarding their accounts, including collaborating with clinical staff, as needed

  • Act as a liaison for the front desk and clinical staff as it relates to the practice management system and/or payer payment guidelines

  • Meet weekly, monthly and quarterly report deadlines

  • Participate in quality and process improvement efforts in the department and the organization as requested or as directed

  • Complete training and professional development requirements in a timely manner

  • Perform all duties in accordance with CHS Core Values, Compliance Program, and other policies and procedures

Some benefit programs available to eligible employees include:
  • Medical Insurance

  • Dental Insurance

  • Vision Insurance

  • 401(k) Plan and up to 4% Employer Match

  • Generous Paid Time Off

  • 9 Paid Holidays

  • Competitive Pay

  • Employer Paid Life Insurance

  • Employer Paid Short Term Disability

  • Employer Paid Long Term Disability

  • Employee Assistance Programs

  • Worker's Compensation

  • Various Leave Programs - Bereavement, Military, Maternity, and more

COVID-19 Vaccination Requirements

CHS requires all new employees to be vaccinated against Covid-19 prior to starting employment with CHS unless they are approved for a reasonable accommodation based on disability, medical condition, or religious belief that prevents them from being vaccinated.

Community Health Services is An Equal Opportunity/Affirmative Action Employer. 
All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status, age or any other federally protected class.