Centralized Billing Specialist In-Person or Remote

Overview

Centralized Billing Specialist at Community Health Center, Inc. responsible for the comprehensive billing of medical, dental, and behavioral health claims within a fast‑paced environment.

• Perform all aspects of billing for medical, dental, and behavioral health claims.
• Enter codes and reconcile charges in a timely and accurate manner.
• Retain the required billing process for each discipline.
• Perform necessary rebilling or adjusting on accounts.
• Organize workload 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.
• Review data for completeness, accuracy, and compliance with regulations.
• Maintain and respect confidentiality of PHI in accordance with HIPAA mandates.
• Adhere to all corporate compliance mandates and guidelines.
• Participate in proactive team efforts to achieve departmental and company goals.
• Communicate daily with providers, site operations, and the billing team.
• Identify, compile, and code patient data using ICD‑10 and CPT.
• Assist with special projects as needed.

• At least 2 years of experience in health‑care billing and coding.
• AAPC or AHIMA certification (CPC or COC) or a diploma in medical billing.
• Proficiency in Microsoft Excel, Word, Access, and electronic e‑mail systems.
• In‑depth knowledge of CPT and ICD‑10 codes, Medicare and Medicaid billing rules, insurance reimbursement methods, and the claims appeal process.

• Associate’s degree in Health Information Management Systems, Business, or a related field.
• Additional AAPC/AHIMA certification (CPC or COC).

Minimal physical effort. Works primarily on computer and phone.

Remote or In‑Person | Middletown ION Building – Finance & Patient Accounts. City:
Middletown, State:
Connecticut.

Full time