15 cpb certified professional biller jobs found in East Haven, CT

Come join our growing team as a Medical Biller! CPA Medical Billing, a division of GeBBS Health Care company, is currently seeking an experienced medical biller to join their team. Connecticut based candidates only. The Medical Biller is one of the most important components to revenue cycle management as this role plays an integral part in getting the doctors paid. This position requires a vast array of different skills that when applied properly deliver a positive result in a timely manner. Responsibilities and Duties: Research: Work aged accounts on assigned payers prioritizing accounts that are approaching timely filing denial. Devote time weekly to work current rejections 1 to 90 days old. Fix errors and re-bill accordingly. Look up payer eligibility using payer websites or call payers to gather needed information for billing. Update all accounts in the system for that patient and promptly re-bill. Contact guarantors as needed to determine insurance...

CareMedica (Primary Care) is seeking an experienced Billing Specialist to support our primary care office. The role includes processing claims, managing insurance verifications, handling denials, and ensuring accurate patient billing. Responsibilities: Submit and track insurance claims Post payments and reconcile accounts Manage denials, appeals, and patient billing questions Ensure compliance with billing and coding guidelines Qualifications: Experience in medical billing (primary care strongly preferred) Knowledge of insurance processes and coding (ICD-10, CPT) Strong attention to detail and organizational skills eClinicalworks EMR/EHR experience a plus Schedule & Pay: Part-time hours Competitive pay based on experience THIS IS NOT A REMOTE POSITION CareMEDICA is an equal opportunity employer. All aspects of employment including the decision to hire, promote, discipline, or discharge, will be based on merit, competence,...

Job Description Job Description Job Title: Medical Biller A well-established, multi-practice medical office is currently seeking an experienced Medical Biller to join their team. The ideal candidate will have a strong background in medical billing and coding, with the ability to handle a high volume of claims across multiple specialties. Key Responsibilities: Submit accurate and timely claims to insurance companies (electronically and paper) Review and correct rejected or denied claims Perform payment posting and reconcile patient accounts Verify patient insurance coverage and benefits Respond to patient billing inquiries Work collaboratively with physicians and administrative staff to resolve billing discrepancies Ensure compliance with HIPAA and other applicable regulations Maintain organized and up-to-date billing records Qualifications: Minimum of 2 years medical billing experience required Proficiency with CPT, ICD-10, and HCPCS coding Experience...

Job Description Job Description Benefits: 401(k) Dental insurance Health insurance Paid time off Vision insurance 401(k) matching RECOVRY is seeking a highly organized and detail-oriented Medical Biller to join our healthcare team. The ideal candidate will be responsible for ensuring accurate and timely billing and coding for patient services as well as oversee our billing operations. This role will include administrative patient services. This role is a crucial part of our medical office, and we are looking for someone who is passionate about providing excellent patient care while also ensuring the financial well-being of our organization. Duties: Utilize medical coding skills to assign accurate ICD-10 and CPT codes to patient records and submit claims to insurance companies Verify patient insurance coverage and obtain necessary authorizations for services Analyze and resolve billing discrepancies and denials in a timely and efficient manner Maintain accurate...

Benefits: 401(k) Dental insurance Health insurance Paid time off Vision insurance 401(k) matching We are seeking a highly organized and detail-oriented Medical Biller to join our healthcare team. The ideal candidate will be responsible for ensuring accurate and timely billing and coding for patient services as well as oversee our billing operations. This role will include administrative patient services. This role is a crucial part of our medical office, and we are looking for someone who is passionate about providing excellent patient care while also ensuring the financial well-being of our organization. Duties: Utilize medical coding skills to assign accurate ICD-10 and CPT codes to patient records and submit claims to insurance companies. Verify patient insurance coverage and obtain necessary authorizations for services. Analyze and resolve billing discrepancies and denials in a timely and efficient manner. Maintain accurate and up-to-date medical...

Medical Biller/ Patient Advocate -NEEDED Location- Brand New Call Center in Melville. Must have strong Medical Billing, Customer Service experience. Having Call Center experience is strongly preferred. Comfortable working in a fast paced, high call v Medical Biller, Customer Service, Biller, Medical, Service, Professional, Retail, Staffing

Job Description Job Description Salary: $23+/hour Medical Biller/ Patient Specialist -NEEDED Location- Brand New Call Center in Melville Must have strong Medical Billing and customer Service experience. Having Call Center experience is strongly preferred. Comfortable working in a fast paced, high call volume environment. You will be receiving high incoming patient calls, helping them navigate their Medical Bill inquiries. Significant opportunity for growth and advancement. Desirable, newly renovated office! Efficiently manage and collect patient information on medical insurance claims. Utilize our software to track, document, and process claims activities. Communicate with patients and insurance companies via phone and email to resolve billing issues. Maintain accurate records of all collection and appeal activities. Previous experience in a large medical practice or medical office settings, particularly in a billing or accounts receivable Call Center Responsible and...

About the job Physician Medical Biller - Epic / Medicare / Medicaid Physician Billing Specialist (Epic | Medicare/Medicaid | Insurance Follow-Up) Experience: 1-2 Years | Healthcare Revenue Cycle Job Summary We are seeking a detail-oriented Physician Billing Specialist with hands-on experience in insurance billing, claims follow-up, and denial management. This role is ideal for someone with strong knowledge of Medicare/Medicaid , medical insurance coverages, and Epic EMR who thrives in a fast-paced healthcare environment. Key Responsibilities Submit and follow up on primary and secondary insurance claims Perform insurance carrier follow-up on outstanding and denied claims Analyze EOBs/Remittance Advice and submit appeals for denials or underpayments Verify patient insurance eligibility, benefits, and demographic accuracy Determine and communicate patient financial responsibility Update patient accounts and insurance information in Epic...

South Shore Speech is looking for a competent, responsible and dedicated individual to join our busy/fast paced, award winning team Benefits and Perks: . Family/friendly work environment . Supportive management and staff . Employee appreciation events regularly . Teaching/training will be provided Qualifications: . Certified Professional Coder . Proficiency with Excel . Motivated and possess the ability to multitask . Past medical office experience necessary . Strong organization skills . Able to interact well and professionally with the public both in person and over the phone Responsibilities: Pre‑Authorizations & Verifications Contact payers (e.g. Medicaid, private insurances, NICU-funded programs) to verify patient eligibility and coverage before treatment begins. Submit pre-authorization requests for services requiring prior approval (e.g. speech therapy visits under Early Intervention or CPSE). Track authorizations, monitor denials, and coordinate...

Job Description Job Description REQUIREMENTS · A minimum of 2 years of medical billing experience, including filing claim appeals · Strong organizational skills and attention to detail · Proper phone etiquette and communications skills, both verbal and written · Appropriate computer hardware including secure Wi-Fi and double monitors, to temporarily work a hybrid schedule from home due to COVID   RESPONSIBILITIES · Reviews insurance payments for accuracy based on agreed upon fee schedules · Prepares and sends appeals for underpaid or incorrectly denied claims · Makes follow up calls to insurance carriers on outstanding balances · Answers patient telephone calls during business hours · Completes other daily tasks as assigned Company Description Our company provides anesthesia practice management services for approximately 500 anesthesiologists and certified registered nurse anesthetists in the Tri-state area. We are affiliated with Northwell Health, New York’s...

Job Functions, Duties, Responsibilities and Position Qualifications: We're not just a workplace - we're a Great Place to Work certified employer! Proudly certified as a Great Place to Work, we are dedicated to creating a supportive and inclusive environment. At Sonic Healthcare USA, we emphasize teamwork and innovation. Check out our job openings and advance your career with a company that values its team members! LOCATION: 250 Miller Place, Hicksville, NY 11801 **May become hybrid after 6 months; need to be in the office a minimum of three days per week. HOURS: 8:00am - 5:00pm; Monday to Friday FULL TIME: benefits eligible In this role you will: Be responsible for accurately reviewing and following up on denied or rejected claims, handling insurance reimbursements, and ensuring timely insurance and patient billing. Research and reconcile denied and unpaid medical claims, no fault, and workers' compensation claims Submit appeals and follow...

Job Description Job Description Busy private ophthalmology practice looking for friendly, experienced medical biller / receptionist to work full-time on weekdays.

Remote Risk Adjustment Coder HealthCare Support is seeking a Remote Risk Adjustment Coder to join a mission-driven healthcare organization supporting the Connecticut market. This full-time, salaried role offers the flexibility of remote work combined with occasional in-market provider engagement. Location: Connecticut or neighboring states: New York, Rhode Island, Massachusetts Schedule: Monday – Friday, 8:00 AM – 5:00 PM EST Compensation: $80K - $95K What Makes This Role Stand Out: Strong Work-Life Balance with a primarily remote schedule Provider-facing education and real-world impact in risk adjustment Opportunity to serve as a senior resource, mentor, and subject matter expert Competitive compensation and comprehensive benefits package Benefits: Medical, Dental, and Vision Insurance Complimentary access health plan option 401(k) Retirement Plan with match Paid Time Off (PTO) Employee Stock Purchase Plan Daily Responsibilities: Review and audit medical records for...

Inpatient/DRG Validation Coding Auditor The Inpatient/DRG Validation Coding Auditor performs documentation and coding audits for all acute inpatient services for clients. Identifies coding errors, compliance, and educational opportunities, and optimizes reimbursement by ensuring that the diagnosis/procedure codes and supporting documentation accurately support the services rendered and comply with ethical coding standards/guidelines and regulatory requirements. Performs independent reviews, interprets medical records, and applies in-depth knowledge of coding principles to determine billing/coding/documentation issues and quality concerns. Demonstrates high level of expertise in researching requirements necessary to make compliant recommendations. Has an extensive understanding of reimbursement guidelines, specifically related to DRG (MS, APR, Tricare, etc.) payment systems. Conducts DRG (ex. MS, APR, Tricare) coding and clinical reviews to verify the accuracy of coding, DRG...

DRG Coder The purpose of this position is to apply the appropriate diagnostic and procedural codes to individual health information for data retrieval, analysis, and claims processing. The DRG coder creates consistency and efficiency in inpatient claims processing and data collection to optimize DRG reimbursement and facilitate data quality in hospital inpatient services. Responsibilities The coder abstracts pertinent information from patient records and assigns ICD-9-CM/ICD-10-CM, ICD-10-PCS or CPT/HCPCS codes, creating APC or DRG group assignments. Queries physicians when code assignments are not straightforward or documentation in the record is inadequate, ambiguous, or unclear for coding purposes. The coder keeps abreast of coding guidelines and reimbursement reporting requirements. Brings identified concerns to supervisor or department manager for resolution. Abides by the standards of Ethical Coding as set forth by the American Health Information Management...