Medical Billing Specialist

Comprehensive Community Action • Warwick, RI

5d

About The Position

Responsible for posting all third-party insurance payments, process all denials appropriately and follow-up on all unpaid claims. Work with patients and external collections company to provide account resolution. Work with the Billing Manager to maintain A/R.

Requirements

• 1-3 years of experience in third party billing
• Must possess all basic billing knowledge and understanding of Third-Party Reimbursement.
• Working knowledge and strategic understanding of medical billing and reimbursement principles, procedures, and documentation
• Knowledge of physician referral protocols and conventions
• Must be able to use a computer and possess basic skills in Microsoft Office products, i.e. Excel, Outlook and Word
• Strong knowledge of practice management system
• Complete all required background checks
• Provide/maintain all required immunizations and/or vaccinations

Nice To Haves

• Medical Billing Certification, preferred
• Bilingual in Spanish, preferred.

Responsibilities

• Record and post all third-party payments and adjustments in practice management system
• Works with manager to evaluate denials and trends in insurance payments and denials
• Works with Billing Manager and Site Managers to train and educate staff on proper procedures
• Answers questions from patients, clerical and front desk staff and insurance companies
• Identifies and resolves patient billing complaints
• Prepares and reviews weekly patient statements
• Evaluates the patient’s financial status and establishes budget payment plans.
• Follows and reports status of delinquent accounts
• Participates in educational activities and attends monthly staff meetings
• Performs various collection actions including but not limited to contacting patients by phone, correcting and resubmitting claims to third party payers
• Maintain/possess professional telephone manner
• Ability to read, understand and follow oral and written instructions
• Maintain/possess excellent communication skills, both written and verbal, and internal personal skills.

Benefits

• 403(b)
• health insurance
• vision and dental insurance
• flexible spending accounts
• health reimbursement accounts
• tuition reimbursement up to $1,000 annually
• Employee Assistance Program
• generous vacation, sick and personal days
• up to 13 paid holidays for all eligible employees

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed