Billing Specialist- great culture!


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Private Company

Private Company Description:
Non-profit Central Berkshire County

Additional Business Name: Non-profit Central Berkshire County

Billing Specialist- great culture!
To Commensurate With Experience
Full Time
High School or Equivalent

 $18.00+ an hour- plus a great benefits package!

M-F - can choose a start time between 7-8:30 am daily for a 37.5 hour work week  

About the Job:

As our (Medical) Billing Specialist you will be integral part of the finance team. You will be responsible for weekly/monthly medical claim submissions and achieving and maintaining accounts receivable days metrics.

On a daily basis, you will investigate claims, follow up with payers, collect the insurance accounts receivable, escalate stalled claims, verify accounts sit at correct liability to balance with financial system.

Specifics responsibilities include

  • Release weekly/monthly medical claim billing to insurance companies
  • Weekly processing of client’s insurance eligibility
  • Process payer payments and denial vouchers daily
  • Identify any payer-specific issues and communicates to team and manager
  • Perform comprehensive follow-up activities that facilitate cash collections and document follow-up activity in the appropriate system
  • Review all outstanding claims on a weekly basis and escalate stalled claims
  • Determines next course of action, which may require rebilling missing claims, denied claims OR sending additional information on pending claims
  • Monthly reconciliation of accounts receivable by payer to the financial reporting system
  • Other ad hoc projects as assigned

What You Need:

  • Associate degree in a related field with at least 2 years of healthcare experience in a revenue cycle related areas such as registration, patient accounting, financial services, or managed care performing denials management, appeals, billing, post pay, auditing, or follow up. If no degree, we are looking for 5 or more years' experience.
  • Familiarity with ICD-10 Diagnosis and procedure codes, CPT/HCPCS codes
  • DPH and Virtual Gateway billing experience strongly preferred
  • Understanding of how to investigate medical accounts to determine the reason for non-payment and take appropriate action.
  • Knowledge of rules and regulations relative to Healthcare Revenue Cycle administration.
  • Working knowledge of HIPAA Privacy & Security policies and procedures- and ability to maintain all sensitive and confidential information appropriately.
  • Proficiency in Office (Word, Outlook and Excel) software
  • Ability to work regular business hours in an office environment (remote work on an exceptions basis only)

Your Work Style

  • You enjoy engaging with others outside of the organization on behalf of your employer
  • You can easily communicate with lots of different types of people and personalities
  • You are detail oriented
  • You are organized
  • You like to troubleshoot problems and offer up innovative solutions
  • You manage time well resulting in the right work being prioritized and done on time
  • You are comfortable being an individual contributor and enjoy working independently with little supervision (support and encouragement always provided!)
  • You are flexible when it comes to changes in procedures and technologies

Job Type: Full-time

COVID-19 considerations:
Vaccination strongly encouraged. All employees must wear masks in the office, regardless of vaccination status.