BILLING SPECIALIST - MON - FRI, 8 : 00 AM - 4 : 30 PM

Job Type

Full-time

Description

We Did It Again!

InterCommunity is a 2025 Healthcare Top Workplaces Winner!

VOTED by our incredible staff a TOP WORKPLACE for 12 YEARS - including 2025!

Join a Mission That Matters

InterCommunity, Inc. is a Federally Qualified Health Center Look-Alike (FQHC LA) committed to providing accessible, compassionate care to everyone - regardless of life situation or ability to pay.

We offer same-day primary care and a wide range of behavioral health services across our community health centers in :

• 281 Main St., East Hartford
• 40 Coventry St., Hartford
• 828 Sullivan Ave., South Windsor

Our Addiction Services Division provides a full continuum of care, including :

Primary care integration

Residential detox and treatment

Outpatient mental health and substance use services for adults and children

Intensive outpatient programs

Employment and community support

Mobile crisis evaluations

Judicial support services

Social rehabilitation

Why Work With Us?

At InterCommunity, we believe your well-being matters - at work and beyond. That's why we offer a comprehensive benefits package designed to support your health, financial security, and work-life balance.

All benefit- eligible employees of InterCommunity are eligible for Medical, Dental, Voluntary Vision, Group Life, Supplemental Life, Short-Term Disability and Long-Term Disability. (A benefit -eligible employee is one who is schedule to work a minimum of 30 hours per week.). In addition, all employees may contribute to our 401k and those who meet eligibility and service requirements will receive the company contribution. Benefits are effective on the first day of the month following date of hire.

Our Benefits Include :

Work Life-Balance-Flexibility, generous Paid PTO, and paid holidays.

Health & Dental insurance - flexible contribution options that includes 2 HDHP w / HSA enrollment option or non-HDHP at a minimal cost to employees.

Voluntary vision coverage.

Employer-paid Short-Term Disability, Long-Term Disability, and Basic Life & AD&D.

Supplemental Life Insurance available.

401(k) with 3% employer match + 3% employer contribution after 12 months and 1,000 hours worked

Career advancement opportunities in a supportive, mission-driven environment.

Summary :

Services will be entered by the Billing Specialist, but all checks will be done in the AR department. Additionally, follow up of unpaid client accounts and general filing and other office duties will be needed.

Essential Duties & Responsibilities :

Researches any overdue account balance that is fully or partially unpaid and follows up by mail and / or phone to insurance carriers or customers on delinquent payments.

Reviews claims denied for payment and underpaid claims. Responds to customer inquiries regarding account status. Researches customer's accounts thoroughly and documents appropriately.

Resolves discrepancies and prepares adjustments and refunds as necessary.

Brings recurring issues to the attention of the department supervisor.

Initiates bills and resubmits bills as necessary.

Pursues patient for payment obligations when insurance defaults as permitted by law or contractual relationships. Receives and processes payments and denial of payments. Separates payments into batches.

Posts payments to accounts according to the service dates to ensure accurate payment status and accurate account activity. Prepares completed cash batches for filing.

Prepares and posts adjustment to appropriate accounts as necessary.

Processes refunds immediately to the government if overpayments have occurred.

Demonstrates professional etiquette and courtesy when interfacing with customers. Resolves patient / customer complaints by identifying problems and coordinating appropriate corrective action.

Performs timely follow-up on Initial and renewal authorizations to maintain reimbursement activity.

Ensures that payor changes are completed accurately, payment is guaranteed and revenue is recorded appropriately.

Verifies that the correct payor is tied to the service / therapy and ensures that the correct allowable is recorded in accordance with the contract. Contacts payor / insurers to verify insurance coverage and eligibility requirement of patients that are changing payors.

Obtain verbal / written authorization for medical treatment from appropriate sources.

Verifies insurance information for accuracy and completeness and resolves discrepancies as necessary. Documents all account activity in system.

Perform internal quality audits to ensure that all necessary documentation is included in each patient file.

Requests adjustments on accounts and recommends necessary changes to supervisor.

Performs other related duties as required.

All agency staff are required to attend all mandatory department / agency meetings and trainings

Schedule :

Monday - Friday, 8 : 00 AM - 4 : 30 PM

Requirements

Education & / Or Experience :

Associate's degree or equivalent from two-year college or technical school; Two (2) years related experience and / or training; or equivalent combination of education and experience. Knowledge of claim / billing process. Knowledge of various insurance plans, entitlement programs and their claim procedures.

Competencies :

Initiative

Leadership

Time management

Decision making

Communication proficiency (Verbal & Written)

Technology & computer literacy (Microsoft Word, keyboarding)

Organization skills

Salary Description

Wage Range : $21.25 - $25.00 Hourly