Reimbursement Specialist - Healthcare jobs in New Britain, CT

Job Description:

• Fast-paced, large ophthalmology practice looking for a CPC and reimbursement specialist with a comprehensive background in all facets of medical billing.

Responsibilities:

• Ensures that claims are accurately coded before submission and submitted in a timely fashion.
• Effectively provide correct coding education and feedback to all providers, clinical staff, and other staff with regards to payer policy and regulations that impact workflows, revenue, and compliance; this includes written, verbal, and electronic communications.
• Demonstrate the ability to quickly identify and investigate possible coding compliance issues and trends to be escalated to the billing manager for review and education.
• Independently research and accurately resolve insurance denials in a timely fashion and with moderate supervision, as well as maintain follow-up on worked claims.
• Review and contact insurance and patient on all outstanding balances.
• Update patient insurance and demographic information as supplied by the patient, insurance carrier, or internet website and file all affected claims.
• Utilizes payer and coding websites, stays current on coding issues, coding changes, or other issues that affect compliance and reimbursement, and shares appropriately with the rest of the coding staff.
• Maintains up-to-date coding knowledge, including new changes to coding compliance and reimbursement.
• Must be able to effectively deal with stressful situations calmly and productively while maintaining the highest degree of customer satisfaction.
• Maintain strict confidentiality and abide by all HIPAA requirements and standards.
• Excellent verbal and written/electronic communication skills when communicating with patients and staff and effective listening skills.
• Other duties as assigned.

Qualifications:

• Successfully completed CPC certification.
• Minimum of three years’ experience with professional billing and coding.
• Ophthalmology experience is a bonus, but not a must.
• Must be able to establish and maintain effective working relationships with managers and peers.
• Must be able to maintain a Microsoft Excel trend spreadsheet
• Must be able to run reports in the EHR program.
• Familiarity with Microsoft applications, including Word and Excel, and Internet/Web skills.

Benefits:

• Sign-On Bonus after successful completion of 90 day period.
• 401K
• Paid Time Off/ Holiday Pay
• Health Insurance
• Life Insurance
• Dental Insurance
• Disability Insurance
• Employee Assistance Program
• Employee Discount
• Free Parking

Job Type: Full-time

Pay: $21.00 - $25.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Employee discount
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday
• No weekends

Work setting:

• Office

Work Location: In person