Medical Billing Specialist

1 month ago


Somerville, Massachusetts, United States Mass General Brigham (Enterprise Services) Full time
Job Summary

We are seeking a highly skilled Medical Billing Specialist to join our team at Mass General Brigham (Enterprise Services). As a Hybrid Billing Representative, you will play a critical role in minimizing accounts receivable and enhancing collection performance.

Key Responsibilities
  • Perform a wide range of billing functions with minimal supervision, including electronic billing and medical retrieval systems.
  • Utilize in-depth knowledge of medical billing and insurance rules and regulations to resolve accounts receivable issues.
  • Train and orient staff as needed, maintaining and updating documentation for workflows and work files.
  • Function as the 'go to' person within the team for payer and/or specialty specific questions or issues.
  • Apply expert knowledge of insurance rules and regulations to interpret new insurance/HCFA/HIPAA information and report potential impact.
Requirements
  • High School Diploma or GED equivalent required.
  • Three years experience in high volume medical billing and Billing/Accounts Receivable systems required.
  • Epic System knowledge preferred.
  • Effective communication, organizational and problem-solving skills.
  • Detailed working knowledge of medical terminology, ICD 10 coding and CPT, HCPCS required.
  • Knowledge of medical Billing, insurance rules and regulations required.
What We Offer

Mass General Brigham (Enterprise Services) is an Affirmative Action Employer. We offer a competitive salary and benefits package, as well as opportunities for professional growth and development.



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