Hriing for an Accounts Receivable Specialist/Medical Biller in Stratford, CT • FULLY IN OFFICE POSITION (no remote/hybrid option) • Schedule: Mon – Fri; 8:00 am – 5:00 pm • 2+ Years Experience a MUST of recent A/R Medical Biller experience • EPIC experience required • Outpatient clinic experience strongly preferre • Pay: $23-25/hr (based on experience) • Keys for billing experience that would be helpful to have: Medicare / Medicaid / working on claims, appeals, denials, collections, follow ups. Working with patients and insurance companies. POSITION SUMMARY Responsible for performing all tasks related to the Billing, Cash posting, Follow-up, and Collections functions for the company. ESSENTIAL FUNCTIONS & RESPONSIBILITIES • Research all information needed to complete billing processing including correction of prebilling errors to ensure compliance with regulatory guidelines at time of billing. • Review of claim batches, making appropriate corrections for claims to be accepted by clearing house. • File all claims daily (electronic claims and hard copy). • Post charges and any corrections to charges to ensure integrity of account information. • Analyze billing reports to ensure proper billing procedures are followed based on federal and state rules and regulations. • Review and analyze health care clinicians claims and identify trends and issues within the revenue cycle process. • Post all insurance and patient payments received and reconcile to the door sheet provided by finance each day. • Research and resolve all collection related activities, including working through accounts receivables to maximize reimbursement. • Function as a liaison between patients and clinic staff on claims, billing questions or insurance related issues. • Trace errors, record adjustments to proper account and determine the appropriate destination of unidentified funds. • Respond to inquiries from agencies and insurance companies to assist in claim payment processing. • Effectively process all patient and third-party correspondence, including requests for copies of claims, statements, and refunds. • Effectively process all legal documentation as it relates to patient accounts. • Act as a resource to Clinicians, Administrators and patients regarding health insurance claim policies, procedures, and requirements. • Provide support to the Billing department and management team on various areas of patient billing research and analysis. • Research, trouble-shoot Accounts receivable reports and rejections, process appeals where appropriate, and make recommendation for write offs. • Maintain compliance according to government insurance regulations and managed care contractual obligations. • Maintain regulatory compliance by staying abreast of current trends and regulations in the financial and healthcare industries. • Maintain assigned work queues to ensure timely action for charge posting, insurance follow up, and credits. • Run standard billing reports from EMR for efficient and timely management of accounts receivables for insurance and patient collections. JOB QUALIFICATIONS/REQUIREMENTS • Detail-oriented with excellent problem-solving abilities • Experience with EMR (EPIC); Microsoft Word, Excel, PowerPoint, and other billing software applications • Strong communication, verbal and written and interpersonal skills • Ability to analyze and solve problems with limited assistance • Ability to maintain confidentiality • Demonstrated medical accounts receivable or insurance follow up background • Attention to detail and accuracy • Ability to meet deadlines • Strong organization and prioritization skills • Ability to work with a diverse group of people, providing excellent customer service • Ability to work independently or as a team member • Strong data entry Skills • Analytical and problem-solving skills EDUCATION: Associate or bachelor’s degree in finance, Healthcare Administration, or a related field. Certified Professional Coder (CPC) or similar certification is desirable High School Diploma; (CPT4 and ICD9/ICD10), helpful. EXPERIENCE: Minimum of 2 years’ experience in medical billing, accounts receivable, or a similar role. Proficient knowledge of medical terminology, ICD-10, and CPT codes. #toponehire