Billing Specialist Telecommute at Brown Medicine

, , United States -

Full Time

Start Date

Immediate

Expiry Date

21 Mar, 26

Salary

32.31

Posted On

21 Dec, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Medical Billing, Claim Submission, Error Resolution, Billing Regulations, Payer Policies, Practice Management, Claims Testing, Collaboration, Communication, Data Analysis, Problem Solving, Attention to Detail, MS Office, Excel, Word

Industry

Medical Practices

Description

SUMMARY: Under general supervision of the Billing Supervisor for a large, multi-specialty physician group, the Billing Specialist is responsible for submitting clean claims to the payers and resolving all errors that result from claim scrubbing in the practice management system, the clearinghouse and the payer. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate RESPONSIBILITIES: Review federal and state documentation for changes in billing regulations. Research payer policies and billing guidelines for professional billing. Stay abreast of all current billing rules and regulations. Resolves billing issues identified in the claim scrubbing process. Issues could be related to patient demographics, insurance, place of service, provider type, etc. Submits paper claims with attachments as appropriate. Identifies trends and works with IS staff to prevent issues from occurring. Recommends billing edits that need to be built in the practice management system and periodically reviews billing edits to assure they are still needed. Performs claims testing for IS when new departments are built or a change to an existing department occurs. Communicates with practices when multiple claim issues occur to have issue resolved so claims will not error out during electronic billing. Works with clearinghouse to resolve issues when needed. Collaborates with other teams, particularly the Claims follow-up team and the Hospital Billing team to assure efficient workflows across all teams. Reports any issues that could impact our revenue stream or prevent clean claims from billing to the supervisor. Maintain productivity measures and accuracy standards defined by department. Participate in educational programs and in-service meetings. May participate in training of new employees. Maintain quality assurance, safety, environmental and infection control in accordance with established policies, procedures and objectives. Perform other related duties as required. MINIMUM QUALIFICATIONS: BASIC KNOWLEDGE:High School diploma with proficiency in use of MS Office 2000 or later, particularly Excel and Word.EXPERIENCE:One to two years' experience in medical billing, professional billing preferred.Work is performed in a typical office setting requiring extended periods of sitting Pay Range: $19.58-$32.31 EEO Statement: Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment. Location: Corporate Headquarters - 15 LaSalle Square Providence, Rhode Island 02903 Work Type: monday -friday 7:30-4 Work Shift: Day Daily Hours: 8 hours Driving Required: No As Rhode Island's largest health system and private employer, Brown University Health is the state's premier provider of health services and includes the only Level I Trauma Center for southeastern New England. Today, more than 20,000 people work at Brown University Health and bring their unique skills, experiences, and compassion to their jobs every day. Formed in 1994, Brown University Health is a not-for-profit health system based in Providence, RI comprising three teaching hospitals of The Warren Alpert Medical School of Brown University: Rhode Island Hospital and its Hasbro Children's; The Miriam Hospital; and Bradley Hospital, the nation’s first psychiatric hospital for children; Newport Hospital, Saint Anne's Hospital and Morton Hospital, community hospitals offering a broad range of health services; Gateway Healthcare, the state’s largest provider of community behavioral health care; and Brown Health Medical Group, the largest multi-specialty practice in Rhode Island. Brown University Health is an equal opportunity employer that values diversity of cultural background, race, gender, age, religion, identity, ability, and perspectives - we are actively committed to a diverse workforce that represents the patients and community that we serve. We are invested in creating a respectful, inclusive, and equitable environment that supports the holistic well-being of our employees and their families. Join us and help build a healthier future for our patients - and for yourself. Company Location Belonging and Engagement Nursing Our Mission

Responsibilities

The Billing Specialist is responsible for submitting clean claims to payers and resolving errors from claim scrubbing. They also review billing regulations, communicate with practices, and collaborate with other teams to ensure efficient workflows.