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Billing Specialist- Full Time- Hospital Billing Experience Required

Billing Specialist- Full Time- Hospital Billing Experience Required

The Connecticut HospiceBranford, CT, US
21 hours ago
Job type
  • Full-time
Job description

Hospital / Outpatient Biller

Job Summary :

The Hospital / Outpatient Biller is responsible for preparing, submitting, and following up on claims to insurance companies to ensure the hospital receives accurate and timely reimbursement for services rendered. This role requires attention to detail, knowledge of billing procedures, and familiarity with insurance guidelines, including Medicare, Medicaid, and commercial payers.

Key Responsibilities :

  • Review and process patient accounts for billing, ensuring accuracy and compliance with payer requirements.
  • Submit insurance claims electronically and / or via paper, as necessary.
  • Verify patient insurance information and coverage.
  • Resolve claim denials, rejections, and discrepancies by researching and appealing claims.
  • Communicate with insurance companies, patients, and hospital departments to resolve billing issues.
  • Post payments and adjustments to patient accounts.
  • Monitor aging reports and follow up on unpaid claims.
  • Ensure compliance with HIPAA and other regulatory requirements.
  • Maintain knowledge of current coding (ICD-10, CPT, HCPCS) and billing guidelines.
  • Assist in audits and reporting as needed.

Generate and review aging reports to prioritize collection follow-up.

Qualifications

Qualifications :

  • Education : High school diploma or GED required; associate degree or billing certification preferred.
  • Experience : 3-5 years of hospital or medical billing experience preferred.
  • CPC : Preferred not required.
  • Hospice experience : Preferred but not required.
  • Skills :
  • Knowledge of insurance billing guidelines (Medicare, Medicaid, commercial)
  • Familiarity with EHR and billing software (e.g., NDOC / HBS)
  • Strong attention to detail and problem-solving skills
  • Good communication and customer service skills
  • Knowledge of CPT, HCPCS, ICD-10 coding, and modifier usage
  • Excellent attention to detail and organizational skills
  • Ability to handle high claim volumes and meet deadlines

    • Working Conditions :

  • Office environment, medical billing department
  • Full-time, MondayFriday schedule.
  • May involve long periods of screen time and data entry.
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    Billing Specialist • Branford, CT, US