Billing Specialist

Community Health Connections • Fitchburg, MA

9h

About The Position

The Billing Specialist is responsible for reviewing and editing claims, submitting claims for payment, correcting errors and resubmitting denied claims, contacting insurance payors and patients when necessary, and other duties related to Accounts Receivable as assigned. Essential Duties & Responsibilities: Ensuring that claims are submitted correctly, processed, and paid in a timely manner. Analyses CHC’s Accounts Receivable to find root causes of billing issues and formulates corrections. Works Epic Work-Queues as assigned by the manager, investigating payment related claims issues, and preparing claims for submission to payors Performing collections activity with patient and insurance payors. Contacting them as necessary to perform duties, including phone calls and emails Maintain current working knowledge of all professional reimbursement issues. Demonstrates understanding and commitment to the health center mission Demonstrates understanding and commitment to the established CHC Values and Standards Perform all other job-related duties that may be assigned

Requirements

• Min. High School diploma or GED required
• Experience in third-party billing and collections preferred.
• ICD10 and CPT coding, contract compliance, and information reporting requirements
• The ability to work independently and with teams to solve problems
• Strong Healthcare Revenue Cycle operational workflow knowledge

Nice To Haves

• Previous experience working with EPIC preferred

Responsibilities

• Reviewing and editing claims
• Submitting claims for payment
• Correcting errors and resubmitting denied claims
• Contacting insurance payors and patients when necessary
• Ensuring that claims are submitted correctly, processed, and paid in a timely manner
• Analyses CHC’s Accounts Receivable to find root causes of billing issues and formulates corrections
• Works Epic Work-Queues as assigned by the manager, investigating payment related claims issues, and preparing claims for submission to payors
• Performing collections activity with patient and insurance payors
• Maintaining current working knowledge of all professional reimbursement issues
• Demonstrates understanding and commitment to the health center mission
• Demonstrates understanding and commitment to the established CHC Values and Standards
• Perform all other job-related duties that may be assigned

Benefits

• 401k
• Generous vacation and personal time for eligible employees
• Sick time
• Medical, dental, and vision insurance
• 100% paid Life insurance/AD&D
• 100% paid Long-Term disability.
• Discounts on travel and entertainment!
• Discounts on cell phone service, computer purchases, and more!
• College Tuition Rewards/CMEs
• Company Events & Activities (Annual cookout and holiday party, health and wellness events,” Lunch & Learn’s”, team building, and more!)
• Employee Assistance Program (EAP)
• EyeMed Vision Care Program
• Accident & Cancer Insurance
• Educational development reimbursement
• Discounts on - gym membership, travel & entertainment tickets, electronics, and more!

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED