Infusion Billing/Coding Specialist I

Connecticut GI, a division of GI alliance, is looking for a full-time experienced Biologic Billing/Coding Specialist to join our Billing Department! We are the largest gastroenterology practice in the state of Connecticut with 30 Care Centers and still growing. Our employees are the foundation of our practice and we pride ourselves on the fact that we have been named a TOP WORKPLACE 8 times! Our team of clinical and administrative support staff work collaboratively with our physicians and advanced practitioners to provide our patients with the most comprehensive and compassionate care. Here at CTGI our promise is to treat every patient as if they were a member of our own families, and we are looking for team members who also embody this vision!

A Short List Of Reasons Why You Should Work For CTGI

• Selected as a Top Workplace 8 Times
• Competitive Pay
• Very Fast-Growing Practice

Job Summary:

Reporting to the Site Supervisor, the Biologic Billing Specialist will provide billing support to the Practice by coding and entering infusion charges.

Duties/Responsibilities:

• Review and code infusions using all pertinent clinical information
• Enter charges using established workflows and timeframes for posting
• Research and resolve unpaid claims and credit balances in  established timeframe
• Submit appeals as needed
• Verify coverage and confirm Verification of Benefits
• Complete enrollments for patient savings programs as needed
• Maintain current knowledge of covered and non-covered CPT and ICD 10 coding by using monthly payer bulletins and updates provided by Team Lead, Supervisor or Manager
• Communicate with Biologic Triage Team and Infusion Center Nurses as needed
• Utilize Payer Websites when available
• Communicate issues with provider reps as needed
• Follow established policies, control processes, procedure and guidelines

• Check email frequently throughout the day to ensure all communications are received
  • Other duties as assigned

Required Skills/Abilities:

• Strong problem-solving skills
• Possess strong computer skills, including proficiency in Excel
• Demonstrate excellent oral and written communication skills in order to effectively communicate with patients, physicians, peers, insurance companies and pharmacy personnel
• Have a broad knowledge of medical terminology
• Have the ability to prioritize and multi-task and must be able to function in a fast paced, at times, stressful environment
• Be able to function independently and as part of a team
• Proficient in EPIC

Education and Experience:

• High school diploma or equivalent
• At least 2 years related experience required

Physical Requirements:

• Prolonged periods of sitting at a desk and working on a computer
• Must be able to lift up to 15 pounds at times

Job Type: Full-time

Salary: From $18.00 per hour, depending on experience

Benefits:

• 401(k)
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Work Location: Hybrid

Qualifications

Education: High school diploma or GED completion is required. Professional Coding Certification with American Academy of Professional Coders AAPC: Certified Professional Coder (CPC) is a plus.

Experience: Minimum one (1) year of infusion experience required. Prior infusion billing coding experience is required.

Requirements for Level I Status:

• Entry level (1-4 years experience) and/or meet the basic requirements of the job with the need for additional supervision.
• Excess of 4 years experience if meeting only the basic requirements of the job with need for additional supervision.

Performance Requirements:

• Excellent written and verbal communication skills.
• Excellent customer service skills are required.
• Proficient computer skills, including MS Office experience, particularly in MS Word and MS Excel.
• Prior infusion billing / coding experience.
• Ability to multi-task and work in fast-paced environment.
• Strong attention to detail and decision-making skills.
• Good understanding of healthcare plans.
• Ability to read and understand third party billing, claim submission, and EDI requirements.
• Ability to gather, review, and interpret clinical data.
• Bilingual is a plus.
• Good working knowledge of medical terminology, CPT, ICD 10, and anatomy.
• Self-motivated with initiative.
• Strong sense of ethics.

GI Alliance is an Equal Opportunity Employer. We are committed to creating an inclusive, welcoming, and equitable work environment. Our company values and celebrates the diversity of our physicians, staff and patients. We firmly believe our service is greatly enriched by our diversity of thought, experience, perspective, culture, and background.

Please Note: All job offers are contingent on the successful completion of pre-employment criminal history check.

NOTE: ALL APPLICATIONS MUST BE COMPLETED IN FULL FOR CONSIDERATION.

No phone calls or agencies, please.

EEO/AA-M/F/disabled/protected veteran