Medical Billing Specialist

Comprehensive Community Action • Warwick, RI

5d • $19 - $22

About The Position

Responsible for posting all third-party insurance payments, processing all denials appropriately, and following up on all unpaid claims. This role involves working with patients and an external collections company to provide account resolution and collaborating with the Billing Manager to maintain Accounts Receivable (A/R). The position requires flexibility to accommodate the client population.

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
• Bilingual in Spanish

Responsibilities

• Record and post all third-party payments and adjustments in the practice management system.
• Evaluate denials and trends in insurance payments and denials with the manager.
• Train and educate staff on proper procedures with the Billing Manager and Site Managers.
• Answer questions from patients, clerical and front desk staff, and insurance companies.
• Identify and resolve patient billing complaints.
• Prepare and review weekly patient statements.
• Evaluate the patient’s financial status and establish budget payment plans.
• Follow and report the status of delinquent accounts.
• Participate in educational activities and attend monthly staff meetings.
• Perform various collection actions including contacting patients by phone, correcting and resubmitting claims to third-party payers.
• Maintain a professional telephone manner.
• Ability to read, understand and follow oral and written instructions.
• Maintain excellent communication skills, both written and verbal, and interpersonal 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

What This Job Offers

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