Medical Billing Specialist at Comprehensive Community Action

Warwick, Rhode Island, United States -

Full Time

Start Date

Immediate

Expiry Date

31 Aug, 26

Salary

22.0

Posted On

03 Jun, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Third Party Billing, Medical Billing, Insurance Payment Posting, Denial Management, Accounts Receivable, Patient Account Resolution, Microsoft Excel, Microsoft Outlook, Microsoft Word, Practice Management Systems, Physician Referral Protocols, Spanish Bilingualism, Communication Skills, Financial Budgeting, Claims Resubmission, Medical Reimbursement

Industry

Non-profit Organizations

Description

Description CCAP Mission Statement - To empower all people and communities, challenged by poverty as well as social and cultural barriers, through advocacy, education, and access to high quality health and human services. JOB SUMMARY: Responsible for posting all third-party insurance payments, process all denials appropriately and follow-up on all unpaid claims. Work with patients and external collections company to provide account resolution. Work with the Billing Manager to maintain A/R. WORK SCHEDULE DEMANDS: This is a full-time, 40 hours per week position. Due to the nature of the job, this individual must be flexible with their schedule to accommodate the client population. Requirements REQUIRED QUALIFICATIONS: 1-3 years of experience in third party billing Medical Billing Certification, preferred 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 Bilingual in Spanish, preferred. KEY RESPONSIBILITIES: Record and post all third-party payments and adjustments in practice management system Works with manager to evaluate denials and trends in insurance payments and denials Works with Billing Manager and Site Managers to train and educate staff on proper procedures Answers questions from patients, clerical and front desk staff and insurance companies Identifies and resolves patient billing complaints Prepares and reviews weekly patient statements Evaluates the patient’s financial status and establishes budget payment plans. Follows and reports status of delinquent accounts Participates in educational activities and attends monthly staff meetings Performs various collection actions including but not limited to contacting patients by phone, correcting and resubmitting claims to third party payers Maintain/possess professional telephone manner Ability to read, understand and follow oral and written instructions Maintain/possess excellent communication skills, both written and verbal, and internal personal skills. Our Benefits Our comprehensive benefits package includes 403(b), health insurance, vision and dental insurance, flexible spending accounts, health reimbursement accounts, tuition reimbursement up to $1,000 annually, an Employee Assistance Program, generous vacation, sick and personal days, and up to 13 paid holidays for all eligible employees. Some benefits are included for part-time employees. CCAP strives to cultivate and sustain a workforce devoted to providing compassionate and respectful care to all patients and clients. We are an Equal Opportunity Employer, committed to providing equal employment opportunities to all employees and applicants for employment without regard to any characteristic protected by federal, state, or local law.

Responsibilities

Responsible for posting third-party insurance payments, processing denials, and following up on unpaid claims to maintain accounts receivable. The role involves resolving patient billing complaints and collaborating with management to train staff on proper billing procedures.