Billing Specialist; Outpatient Clinic

Billing Specialist

Location:

East Hartford, CT

Full‑time position with a standard schedule Monday – Friday, 8:00 AM to 4:30 PM (with one late shift until 6:00 PM). Hourly range $18.00 – $24.00.

First Choice Health Centers has been a leading nonprofit human services organization for over 25 years. We are committed to supporting employee growth and well‑being.

• Medical, Dental and Vision Insurance for employees working 30+ hours
• 20 days of vacation, 8 paid holidays, 2 floating holidays per year
• Safe harbor 401(k) with up to a 4% company match after 6 months
• Company‑paid life insurance
• Voluntary Term, Whole Life, Accident and Critical Care insurance
• Complimentary Calm Health membership
• Recognition programs
• Paid Basic Life Support certification with renewal every 2 years
• Monday‑Friday schedule with early finish on Friday (3:00 PM)

• Prepare and submit billing data and medical claims to insurance companies
• Ensure accurate patient information and up‑to‑date medical records
• Maintain billing software, update rate changes, and generate financial reports
• Resolve billing discrepancies and appeal denied claims
• Assess financial summaries and spot discrepancies for accurate billing
• Prioritize tasks, stay organized, and meet deadlines
• Verify insurance payments for accuracy and compliance with contract discounts
• Contact insurance companies regarding payment discrepancies when necessary
• Identify and bill secondary or tertiary insurances
• Answer patients’ billing and insurance inquiries and handle complaints
• Review accounts for possible assignment and recommend to Billing Supervisor, and prepare information for the collection agency
• Maintain strict confidentiality; adhere to HIPAA guidelines and regulations
• Process claims and follow up with insurance companies
• Review patient bills for accuracy and completeness and obtain missing information
• Follow up on unpaid claims within the standard cycle timeframe
• Review, research, and respond to correspondence from insurance companies, attorneys, and patients
• Contact patients as needed to collect appropriate information or collect balances
• Identify, verify, and document account adjustments per policy and procedures
• Ensure service level and productivity requirements are met related to reimbursement, resolution, and response to inquiries
• Maintain positive working relationships with internal and external customers by providing superior customer service
• Utilize medical and billing terminology
• Adhere to Clean Claims Act and HIPAA policy and procedures

• Accounting knowledge; math skills
• Medical and billing terminology
• Electronic Health Records (EHR) and electronic billing
• 270/271 and 835/837

• College level education in Accounting, Finance, Medical Billing, or Healthcare (can be substituted with work experience)
• Graduate of an Accredited Medical Assistant Program
• 2+ years of billing/collections experience in a healthcare or insurance environment

• Experience with ICD‑9/10 and CPT coding
• Knowledge of healthcare carriers and payer requirements
• Familiarity with billing software like eClinical Works

• Must be vaccinated against COVID‑19 (exemptions may apply)
• Must pass a drug test, including testing for marijuana

First Choice is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.