Location Remote in Connecticut, must be able to commute onsite.
Job Purpose Responsible for maintaining the professional reimbursement program. Ensure compliance with current payments and rules that impact billing and collection.
Duties and Responsibilities Follow up on any outstanding accounts receivable for all payers, including self‑pay, and resolve denials.
Prepare and submit clean claims to insurance companies electronically or by paper.
Answer questions from patients, FHCHC staff, and insurance companies.
Identify and resolve patient billing complaints.
Prepare, review, and send patient statements and manage correspondence.
Handle all correspondence related to insurance or patient account, contacting insurance carriers, patients, and other facilities as needed to maximize payments and identify issues or changes to achieve profitability.
Take calls from patients and insurance companies regarding billing and statement questions.
Process and post all patient and/or insurance payments.
Review clinical documentation and provide coding support to clinical staff as needed.
Qualifications High school diploma or GED with experience in medical billing is required.
Certified professional coding certificate (CPC/AAPC), knowledge of third‑party billing requirements, ICD and CPT codes, and billing practices are required.
Excellent interpersonal and communication skills and ability to work as a member of the team to serve patients is essential.
Must be detail‑oriented and able to work independently.
Bi‑lingual in English and Spanish highly preferred.
FQHC/EPIC experience is desirable.
American with Disabilities Requirements External and internal applicants, as well as position incumbents who become disabled, must be able to perform the essential job specific functions either unaided or with the assistance of a reasonable accommodation to be determined by the organization on a case‑by‑case basis.
Equal Opportunity Employer Fair Haven Community Health Care is an Equal Opportunity Employer. FHCHC does not discriminate on the basis of race, religion, color, sex, age, non‑disqualifying physical or mental disability, national origin, veteran status or any other basis covered by appropriate law. All employment is decided on the basis of qualifications, merit, and business need.
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