Billing Associate II

Vinfen•Cambridge, MA

2h•$25 - $27

About The Position

The Reimbursement & Billing Specialist is coordinates the analysis and effective resolution of denied claims with the purpose of reducing overall denials and increasing revenue. The Reimbursement & Billing Specialist is responsible for prioritizing and managing to resolution denied claims with government and third party payers.

Requirements

2-5 years related work experience, specifically with identifying and resolving healthcare claim denials required.
High proficiency with Microsoft Excel required, advanced Excelknowledge preferred.
Proficiency with other Microsoft Office products such as Outlook. Word, PowerPoint and Access
Prior experience with 3rd party payor claim procedures (websites, systems) required.
Prior experience with government payors (DMH, DSS) and government claims submission and reporting systems (EIM, MMIS) strongly preferred
Prior experience with eHana, ARPlus/Hill and Waystar strongly preferred
Certified Professional Coder (CPC) orCertified Coding Specialist (CCS) preferred.
Must be able to successfully pass a CORI check, employment verification check, and reference check.

Responsibilities

Interpreting payment and denial data down to the line item detail
identifying payer and coding trends, risks, and opportunities, and to implement operational and/or systematic improvements.
Researches, develops, and maintains a solid understanding of payer requirements, including filing limit, claim processing logic, coordination of benefits requirements, patient responsibility and authorization requirements.
Triages denied claims to identify appropriate action to ensure timely processing and payment.
Performs ongoing analysis to determine the root cause of denials and proactively alert management to issues and trends.
Proactively makes recommendations for workflow, operational, and/or systemic changes to reduce denials and speed up collections.
Assists in developing and modifying tracking and reporting process for denials, appeals status and appeals results. Ensures that all denials are tracked and the appeals are monitored accordingly.
Performs other duties as required.

Benefits

Medical, Dental and Vision Insurance for employees working 30 hours or more
15 days of Vacation, 12 Paid Holidays, 10 Sick Days and 3 Personal Days per year (for employees scheduled for 20 hours or more)
Education Assistance and Tuition Remission Programs as well as innovative Student Loan Payment Programs. Employment with Vinfen counts toward your Public Student Loan Forgiveness eligibility
Professional Development programs including year-round online training courses and opportunities to earn CEUs
Retirement savings programs, including a fully funded, employer sponsored retirement plan and an employee funded 403 (b) plan
Company paid Life, Accidental Death & Dismemberment and Long-Term Disability Insurance
Voluntary Term, Whole Life, Accident and Critical Care Insurance
Flexible Spending Reimbursement Accounts (Health and Dependent care)
$500 -- $1,000+ Employee Referral Bonuses with no annual cap!
Other generous benefits including discounted memberships, access to wellness programs and more!