Jun 11, 2024

Medical Billing Coder

  • Fair Haven Community Health Care
  • New Haven, CT, United States
(CPC) Certified Professional Coder

Job Description

Fair Haven Community Health Care

FHCHC is a forward-thinking, dynamic, and exciting community health center that provides care for multiple generations at nearly 130,000 office visits in 17 locations. Overseen by a Board of Directors, the majority of whom are patients themselves, we are proud to offer a wide range of primary and specialty care services, as well as evidence-based patient programs to educate patients in healthy lifestyle choices. As we grow and are able to bring high-quality health care to more areas that need access, we continue to put our patients first in everything we do. The mission of FHCHC is "To improve the health and social well-being of the communities we serve through equitable, high quality, patient-centered care that is culturally responsive."

For over 50 years, we have been a health care leader in our community focused on providing excellent, affordable primary care to all patients, regardless of insurance status or ability to pay. Fair Haven is proud to have a diverse and motivated team of professionals who are constantly seeking ways to enhance and improve the health and well-being of all patients. We believe that everyone should have access to high-quality medical and dental care, regardless of ability to pay.

Job purpose

Responsible for maintaining the professional reimbursement program. Ensure compliance with current payments and rules that impact billing and collection.

Duties and responsibilities

The Medical Billing Coder performs billing and computer functions, including patient & third party billing, data entry and posting encounters. Typical duties include but are not limited to:
  • Follow-up of any outstanding A/R all-payers, self-pay, and the resolution of denials
  • Prepares and submits clean claims to various insurance companies either electronically or by paper.
  • Handle the follow-up of outstanding A/R all-payers, including self-pay and /or the resolution of denials.
  • Answers question from patients, FHCHC staff and insurance companies.
  • Identifies and resolves patient billing complaints.
  • Prepares reviews 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 get the maximum payments and accounts and identify issues or changes to achieve client profitability.
  • Take call from patients and insurance companies regarding billing and statement questions.
  • Process and post all patient and/or insurance payments.
  • Reviewing clinical documentation and provide coding support to clinical staff as needed.

Qualifications
  • High School diploma or GED with experience in medical billing is required.
  • A certified professional coding certificate, knowledge of third party billing requirements, ICD and CPT codes, and billing practices are also required.
  • Excellent interpersonal and communication skills and ability to work as a member of the team to serve the patients is essential. Must be detail oriented and have the ability to work independently.
  • Bi-lingual in English and Spanish highly preferred. FQHC/EPIC experience is desirable.

Direct reports

None

OSHA Status

Category III-Low Risk Position

Generally works in an office environment with no exposure to bloodborne pathogens

Potential exposure to hazardous waste and blood borne pathogens, clinical settings

Physical requirements

Physical Demands: Requires walking, bending, sitting, standing, writing, reading, telephone use, data input into computer, pulling medical records,

Mental Demands: Ability to cope with continual changing priorities under potentially stressful conditions

Manual Dexterity Required: Ability to use a keyboard, telephone.

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 (listed within each job specific responsibility) either unaided or with the assistance of a reasonable accommodation to be determined by the organization on a case by case basis.

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 (listed within each job specific responsibility) either unaided or with the assistance of a reasonable accommodation to be determined by the organization on a case by case basis.

Fair Haven Community Health Care is an Equal Opportunity Employer. FHCHC does not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, 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.