HUHS Medical Billing Specialist
6 days ago
Job Title: Medical Billing Specialist
Location: 188 Longwood Avenue, Boston, MA 02115
Employment Type: Temporary, Full-Time (35-40 hours/week)
Duration: 4 months
Pay Range: $15 to $20 per hour
We are seeking a detail-oriented Medical Billing Specialist to manage the full cycle of medical billing activities with accuracy and efficiency. This role involves handling claims submissions, accounts receivable follow-up, payment posting, EOB and COB processing, and credit balance refunds. The Medical Billing Specialist will research billing and account issues, working closely with an outside billing company, and accessing clinical computer systems to verify information. The specialist will also assist with report preparation and provide insights and recommendations based on findings.
Key Responsibilities:- Claims Submission and Payment Posting: Submit claims accurately, manage accounts receivable, and process payments while handling EOB and COB adjustments and credit balance refunds.
- Problem Resolution: Investigate and resolve billing and eligibility issues by collaborating with clinical departments, reviewing source charge entry documents, and verifying patient account information.
- Billing Data Entry: Post billing data from clinical management systems to the billing system, ensuring accuracy in data transfer.
- Collections and Bad Debt Management: Follow up on overdue accounts, manage collections, and handle debt recovery.
- Report Preparation and Analysis: Generate aged balance and other financial reports; provide feedback to management with recommendations based on report analyses.
- Stakeholder Collaboration: Act as a liaison with the external billing company, clinical departments, and practice representatives to clarify billing information as needed.
- Education: High School diploma or equivalent.
- Experience: At least 5 years of medical billing experience, with a strong understanding of CPT and ICD-10 codes.
- Technical Skills: Proficient in data entry for third-party billing, Microsoft Word, and intermediate Excel.
- Payer Knowledge: Familiarity with Blue Cross/Blue Shield, Medicare, Medicare Advantage plans, MVA, Workers Compensation, and related reimbursement and denial patterns.
- Medical Terminology: Solid understanding of medical terminology, essential for accurate billing and claims management.
- Collections Experience: Experience with dental billing, denial processing, and discussing payments and collections with clients.
- Prior experience handling aged balance reports and financial collections.
- Ability to work independently and take initiative to troubleshoot and resolve billing issues.
- Strong communication skills for interacting with internal and external stakeholders.
- Full-time, onsite role with a standard workweek of 35-40 hours.
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