Specialist, Integrated Billing

Ovation Healthcare•Pawtucket, RI

16h

About The Position

The Integrated Billing Specialist manages daily billing activities to ensure claims are accurate, clean, and submitted on time. The role reviews and resolves daily claim edits and supports compliance with insurance billing policies and regulations. Responsibilities include verifying billing data, managing accounts receivable, processing payments, assisting with insurance claims, maintaining billing records, communicating with clients about balances and payment arrangements, and working with other departments to ensure accurate billing information. The specialist also responds to billing inquiries, resolves discrepancies, and stays informed about changes in billing regulations and insurance practices.

Requirements

High school diploma or GED required.
Strong analytical skills for reviewing data and identifying 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 and accuracy in data entry and record-keeping.
Ability to manage multiple tasks, prioritize workload, and meet deadlines.
Ability to sit for extended periods of time.

Nice To Haves

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

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 promptly resolve billing discrepancies.
Collaborate with other departments to ensure accurate billing information.
Process and post payments received.
Assist with preparing and submitting insurance claims to carriers, ensuring accuracy and compliance.
Stay updated on 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 and resolve claim edits, and ensure timely, accurate claims in compliance with insurance billing policies and regulations.

Benefits

Medical, dental, vision, and life insurance.
Short- and long-term disability coverage.
HSA with employer contributions.
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 and company-paid holidays.
401(k) plan with discretionary employer match opportunities.
Professional development opportunities.
Company-issued equipment.