Objective of Position
To perform A/R and claim functions timely and accurately in support of the organization’s overall goals.
Duties & Responsibilities
Conduct collection follow-up activity on unpaid medical claims for Husky and Project Safe payer and back up to all other payers (as needed), according to departmental procedures.
Perform accurate and timely billing of Project Safe claims, secondary claims and crossover claims for all other payers.
Perform editing and rebilling of claims, follow up on denials, process appeals and all other steps necessary to get a claim paid for Husky and Project Safe payer.
Post paper insurance payments, CSSD, Wise and Project Safe payments.
Interact with CHR sites to update insurance information, follow up from previous emails and re‑entry of corrected data into the billing system.
Complete monthly projects needed to keep the EHR system updated as directed by the director of the department.
Report payer issues to supervisor as appropriate.
Enter and maintain client billing and financial information in the Credible billing system and other software programs as necessary.
Maintain the integrity and accuracy of client financial and billing data.
Answer and appropriately handle incoming phone calls, addressing questions and concerns from staff, insurance companies, other providers and clients.
Maintain current working knowledge of third‑party payer requirements.
Maintain the confidentiality of client‑related information.
Maintain documentation in compliance with agency and program standards.
Participate in staff meetings, supervision, trainings and other meetings as assigned.
Perform additional duties as required.
Qualifications
Education: High school Diploma or equivalent
Experience: 1-3 years of demonstrated experience in billing and collection of unpaid claims, preferably in a medical environment. Experience with Medicare, Medicaid and third‑party insurance preferred.
Compensation
Starting at $19.28/hour minimum, and up commensurate upon experience.
Actual rates are determined at the time of offer and are based on relevant experience, as well as adherence to our internal equity policy. Many of our positions offer program/location differentials and/or sign‑on incentives. (Please note, for part‑time positions this range would be pro‑rated based on hours worked)
Benefits
Ample paid time off, including a special day off for your birthday.
Benefit from contributions to your 403(b) Retirement Plan.
Competitive premiums with added discounts on pet, auto, and home insurance.
Tuition reimbursement and professional development programs.
Student loan repayment assistance (Public Service Loan Forgiveness, Nurse Corps, NHSC/HRSA at select sites).
Exclusive tuition discounts for CHR employees at several local colleges/universities.
FREE robust training curriculum, featuring our brand-new Clinical Training Series for interactive learning, practical skill enhancement, and professional growth.
Clinical supervision and/or mentoring available at many programs.
Internal career fairs: connect with recruiters to discuss your career aspirations and the various opportunities available within our over 80 programs statewide.
Annual wellness stipend.
FREE premium subscription to the Calm app for employees and their families.
Fun activities such as coloring contests, lunch & learns, office seasonal decorating contests, employee appreciation events, and more.
Up to 6 FREE confidential counseling sessions per issue, per year, for individuals, couples, & families through our EAP program.
Many benefits are available to all staff, regardless of the hours worked, with some subject to eligibility.
CHR is an equal opportunity employer, and we encourage all to apply.
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Patient Account Specialist
Community Health Resources · Windsor, CT, USA ·
- Pay:
- Up to $19.28/hr
- Job type:
- Full Time