Specialist, Integrated Billing

Ovation Healthcare•Pawtucket, RI
•$45,094 - $67,641

About The Position

The Integrated Billing Specialist manages daily billing and ensures timely, accurate clean claims. The role reviews claims, resolves daily claim edits, and ensures compliance with insurance billing policies and regulations. The specialist verifies billing data, manages accounts receivable, tracks payments, follows up on overdue accounts, responds to customer inquiries, resolves billing discrepancies, processes and posts payments, and assists with preparing and submitting insurance claims. The position also involves collaborating across departments, keeping current with billing regulations and insurance practices, maintaining customer billing records, and communicating with clients about account balances and payment arrangements.

Requirements

  • High school diploma or GED.
  • Strong analytical abilities to review data and identify discrepancies.
  • Excellent written and verbal communication skills.
  • Proficiency in billing systems and Microsoft Office Suite.
  • Ability to identify and resolve billing issues efficiently.
  • Strong attention to detail in data entry and record-keeping.
  • Ability to manage multiple tasks, prioritize workload, and meet deadlines.

Nice To Haves

  • Three or more years of experience in billing, accounting, or a related field.

Responsibilities

  • Review and verify billing data for consistency and accuracy.
  • Manage accounts receivable, track payments, and follow up on overdue accounts.
  • Handle customer inquiries and resolve billing discrepancies promptly.
  • Collaborate with other departments to ensure accurate billing information.
  • Process and post payments received.
  • Assist in preparing and submitting insurance claims to carriers, ensuring accuracy and compliance.
  • Stay updated on changes in billing regulations and insurance practices.
  • Maintain and update customer billing records in the system.
  • Communicate with clients about account balances and payment arrangements.
  • Manage daily billing, review claims, resolve daily claim edits, and support timely, accurate clean claims.

Benefits

  • Comprehensive health and wellness benefits, including medical, dental, vision, life insurance, and short- and long-term disability coverage.
  • Health savings account with employer contributions and flexible spending accounts for health care and dependent care.
  • Wellness platform with premium incentives.
  • Employee assistance support and voluntary supplemental plans, including accident, critical illness, hospital indemnity, and child disability insurance.
  • Flexible paid time off offerings and company-paid holidays.
  • 401(k) plan with discretionary employer match opportunities.
  • Professional development opportunities.
  • Company-issued equipment.
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