Location: East Hartford,CT, USA
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Job Type
Full-time
Description
VOTED a Top Workplace for 13 Years! - Hartford Courant, 2023
About InterCommunity, Inc.
InterCommunity, Inc. is proud to be an FQHC LA (Federally Qualified Health Center Look-Alike), providing same-day primary care services to every member of the community, regardless of life situation or ability to pay. Our services extend beyond primary care to include a wide array of behavioral health services as well as addiction and recovery services. InterCommunity Addiction Services provides comprehensive substance use treatment and recovery-supportive services at multiple sites throughout Hartford.
Our spectrum of care includes:
* Primary care
* Residential detoxification and substance use treatment
* Multiple levels of residential care
* Outpatient substance use disorder and mental health services (for adults and children)
* Intensive outpatient programs
* Employment and community support
* Mobile crisis evaluations
* Judicial support services
* Social rehabilitation
Our Community Health Care Centers are located at:
* 281 Main St., East Hartford
* 16 Coventry St., Hartford
* 828 Sullivan Ave., South Windsor
Why Join Us?
At InterCommunity, we believe our benefits make a meaningful difference to you, your family, and your quality of life outside of work. We offer competitive benefits as part of our total compensation package, tailored to meet the diverse needs of our employees.
Our Amazing Benefits Include:
* Work-Life Balance: Flexibility, generous PTO, and 9 paid holidays + your Birthday
* Health & Dental Insurance: Flexible plans, including:
* 2 HDHP options with HSA contributions (at a 5% cost premium)
* Non-HDHP option with minimal employee cost
* Voluntary Vision Insurance
* Disability Coverage: Employer-paid Short-Term Disability (STD), Long-Term Disability (LTD), and Basic Life & AD&D
* Supplemental Life Insurance: Available for additional coverage
* 401(k):
* Up to a 3% employer match after 12 months and 1,000 hours worked
* A 3% employer contribution, fully vested on the first day of the month following the date of hire.
* Career Advancement Opportunities
Eligibility Requirements:
All benefit-eligible employees (scheduled to work a minimum of 30 hours per week) are eligible for medical, dental, voluntary vision, group life, STD, and LTD coverage. Benefits take effect on the first day of the month following the hire date.
* All agency staff are required to attend all mandatory department/agency meetings and trainings*
Summary:
The Billing Specialist ensures accurate billing, payment processing, and account management. This role involves following up on unpaid accounts, resolving discrepancies, processing refunds, and maintaining thorough documentation while delivering professional customer service and supporting department compliance efforts.
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.
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