Gilead Community Services

  • Medical Billing Specialist

    Job Locations US-CT-Middletown
    Job ID
    Regular part time - 25 hours
    Job Schedule
    Mon-Fri 8a-4p
  • Overview


    Position performs numerous functions of medical billing for the organization.


    -Verify mental health benefit insurance information for clients for the Outpatient Clinics and communicates this information back to the clinics.
    -Apply medical billing knowledge to generate, review and submit electronic and paper bills to insurance companies weekly.
    -Actively works all accounts receivables for timely collection of outstanding balances.
    -Assists clinicians in ensuring all prior-authorizations requirements are met in a timely manner.
    -Process claims for billable services outside of OPC. For example, rehab option, WISE.
    -Review EOB’s for denials and resubmit corrected billing as needed.
    -Mail client outpatient clinic statements monthly.
    -Assists with credentialing of billable providers.
    -Answers multi-line telephone system, relays messages, and screens and directs phone calls for management in a professional manner.
    -Greets visitors, in reference to the daily schedule, organizes office calendar and obtains information and organizes meetings as needed.
    -Reviews and maintains charts and files in an organized accessible manner and acquires necessary medical information to ensure proper -documentation enclosed in accordance with program guidelines.
    -Schedules clients for appointments in an efficient and productive manner as needed.
    -Performs other duties, works on related projects and contributes to the overall success of the finance department.
    -Attends relevant training sessions as indicated.
    -Other duties as assigned.


    -Ability to handle busy work environment and to prioritize needs and work independently to meet deadlines. 
    -Requires knowledge of Word, Excel, and medical billing software.
    -Must maintain and provide proof of valid driver’s license and automobile insurance in good standing.
    -Must meet and maintain all required trainings, certifications etc. as needed.
    -Uphold confidentiality by following the HIPAA regulations.


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