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Medical Billing Specialist EOE StatementWe are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law. Category Administration Description The Speech Pathology Group & Rehab Services of CT (SPGCT) is growing and is looking for a self-driven, diligent, and collaborative Medical Billing Specialist to join our team! As a Medical Billing Specialist with SPGCT, your primary focus will be on Accounts Receivable, Client Relations, Insurance Eligibility, Authorizations, and Claims Management. This position requires managing high volume of communication with patients, insurance companies, and clinicians by phone, in person and through email. If you enjoy fast-paced work in an inclusive culture and take a meticulous approach to your tasks, we welcome you to apply! Qualifications: Experience in medical billing, eligibility, & authorization for a multi-discipline practice. *Preferred candidates will be articulate in ST/OT/PT/ABA medical terminology. Understanding of primary code classifications ( ICD-10-CM, CPT coding) and remittance (payment & denial coding). Working experience as a liaison between major medical insurances, medical offices, and patients. Customer experience oriented, demonstrating the ability to nurture strong interpersonal relations & effectively communicate account details to patients & industry partners. Exudes confidence & composure while managing negotiations: able to resolve denial cases & achieve maximum reimbursement for services provided. Proficiency with insurance remissions. Ability to enter data into various electronic systems while maintaining the integrity and accuracy of the data. Proficiency with medical billing software, modern technologies, & system navigation. Knowledge of unfair debt collection practices & insurance guidelines. Preferred Qualifications: Medical Coding Certification (Eg: Certified Professional Coder) Working knowledge of ST/OT/PT/ABA medical terminology Responsibilities: Liaise between Insurers, Medical Offices, and Patients, managing patient insurance eligibility, authorization, claims, and generating invoices to patients & Insurance companies for claims or remittance. Investigate & appeal claims which were denied. Maintain a general knowledge of Accounting principals, bookkeeping best practices, and basic math skills. Consistently review patient accounts and bills, identifying & correcting any missing or inaccurate information. Evaluate patient information and translate services in the correct corresponding codes. Track & coordinate payments, coordinating payment plan arrangements for outstanding account balances; Collect unpaid claims and resolve discrepancy cases. Maintain compliance with HIPAA laws and other applicable regulations when managing all confidential and personally identifiable information. Effectively manage medical & all data entry, updating required spreadsheets and reports. Adapt to align with updates & changes to billing software. Conducts self-auditing to ensure compliance with best practices. Collaborate with team members to ensure alignment of duties and consistency in timely & comprehensive billing management. Job Type: Full-time Benefits: 401(k) Medical insurance Dental insurance Vision insurance Flexible Schedule Paid Time Off Company Holidays Schedule: Monday to Friday Experience: ICD-10: 2 years (Required) Language: English (Required) License/Certification: Medical Coding Certification (Preferred) Shift availability: Day Shift (Required) Work Location: Hybrid (3 days in office & 2 days remote) Why choose SPGCT? : Flexible schedules to support Work-Life integration Health Insurance Paid time off & Paid holidays 401K Plan Casual dress code Team-oriented culture - cooperative and collaborative Apply tot his job Apply To this Job