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Medical Billing Job in Middletown, Connecticut : CT

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Medical Billing Specialist

Gilead Community Services, Inc.Logo
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Gilead Community Services, Inc.
Admin - Clerical, Nonprofit - Social Services
Middletown
Connecticut
click here to apply

Medical Billing Specialist Job Description

Summary

Position performs numerous functions of medical billing for the organization.

Schedule: Mon-Fri 8a-4p (40 hour)


Middletown Medical Billing Job

Medical Billing Specialist Job Requirements

Duties and Responsibilities

  • Verify mental health benefit insurance information for clients for the Outpatient Clinics and communicates this information back to the clinics.
  • Apply medical billing knowledge to generate, review and submit electronic and paper bills to insurance companies weekly.
  • Actively works all accounts receivables for timely collection of outstanding balances.
  • Assists clinicians in ensuring all prior-authorizations requirements are met in a timely manner.
  • Process claims for billable services outside of OPC. For example, rehab option, WISE.
  • Review EOB’s for denials and resubmit corrected billing as needed.
  • Mail client outpatient clinic statements monthly.
  • Assists with credentialing of billable providers.
  • Answers multi-line telephone system, relays messages, and screens and directs phone calls for management in a professional manner.
  • Greets visitors, in reference to the daily schedule, organizes office calendar and obtains information and organizes meetings as needed.
  • Reviews and maintains charts and files in an organized accessible manner and acquires necessary medical information to ensure proper documentation enclosed in accordance with program guidelines.
  • Schedules clients for appointments in an efficient and productive manner as needed.
  • Performs other duties, works on related projects and contributes to the overall success of the finance department.
  • Attends relevant training sessions as indicated.
  • Other duties as assigned.

Education and Years of Experience

  • Degree: High School Diploma and Medical Billing Certification required.
  • Number of Years of Experience:  3


Requirements

  • Ability to handle busy work environment and to prioritize needs and work independently to meet deadlines. 
  • Requires knowledge of Word, Excel, and medical billing software.
  • Must maintain and provide proof of valid driver’s license and automobile insurance in good standing.
  • Must meet and maintain all required trainings, certifications etc. as needed.
  • Uphold confidentiality by following the HIPAA regulations.

 

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