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First Choice Health Centers, Inc.

Billing Specialist (Outpatient Clinic)

First Choice Health Centers, Inc., East Hartford, Connecticut, us, 06118

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Billing Specialist Location: East Hartford, CT

Full‑time position with a standard schedule Monday – Friday, 8:00 AM to 4:30 PM (with one late shift until 6:00 PM). Hourly range $18.00 – $24.00.

About First Choice Health Centers First Choice Health Centers has been a leading nonprofit human services organization for over 25 years. We are committed to supporting employee growth and well‑being.

Why First Choice?

Medical, Dental and Vision Insurance for employees working 30+ hours

20 days of vacation, 8 paid holidays, 2 floating holidays per year

Safe harbor 401(k) with up to a 4% company match after 6 months

Company‑paid life insurance

Voluntary Term, Whole Life, Accident and Critical Care insurance

Complimentary CalmHealth membership

Recognition programs

Paid Basic Life Support certification with renewal every 2 years

Monday‑Friday schedule with early finish on Friday (3:00 PM)

Key Responsibilities

Prepare and submit billing data and medical claims to insurance companies

Ensure accurate patient information and up‑to‑date medical records

Maintain billing software, update rate changes, and generate financial reports

Resolve billing discrepancies and appeal denied claims

Assess financial summaries and spot discrepancies for accurate billing

Prioritize tasks, stay organized, and meet deadlines

Verify insurance payments for accuracy and compliance with contract discounts

Contact insurance companies regarding payment discrepancies when necessary

Identify and bill secondary or tertiary insurances

Answer patients’ billing and insurance inquiries and handle complaints

Review accounts for possible assignment and recommend to Billing Supervisor, and prepare information for the collection agency

Maintain strict confidentiality; adhere to HIPAA guidelines and regulations

Process claims and follow up with insurance companies

Review patient bills for accuracy and completeness and obtain missing information

Follow up on unpaid claims within the standard cycle timeframe

Review, research, and respond to correspondence from insurance companies, attorneys, and patients

Contact patients as needed to collect appropriate information or collect balances

Identify, verify, and document account adjustments per policy and procedures

Ensure service level and productivity requirements are met related to reimbursement, resolution, and response to inquiries

Maintain positive working relationships with internal and external customers by providing superior customer service

Utilize medical and billing terminology

Adhere to Clean Claims Act and HIPAA policy and procedures

Minimum Knowledge, Skills & Abilities

Accounting knowledge; math skills

Medical and billing terminology

Electronic Health Records (EHR) and electronic billing

270/271 and 835/837

Experience & Training

College level education in Accounting, Finance, Medical Billing, or Healthcare (can be substituted with work experience)

Graduate of an Accredited Medical Assistant Program

2+ years of billing/collections experience in a healthcare or insurance environment

Desired Experience

Experience with ICD‑9/10 and CPT coding

Knowledge of healthcare carriers and payer requirements

Familiarity with billing software like eClinicalWorks

Requirements

Must be vaccinated against COVID‑19 (exemptions may apply)

Must pass a drug test, including testing for marijuana

Equal Opportunity Employment First Choice is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, pregnancy, sexual orientation, gender identity, national origin, age, protected veteran status, or disability status.

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