Medical Billing Specialist for Healthcare Finance
2 days ago
Compensation Package
">The estimated annual salary for this position is $60,000 - $70,000.
">About the Role
">We are seeking a highly skilled Medical Billing Specialist to join our Public Provider Reimbursement (PPR) Department. As a key member of our team, you will be responsible for performing medical billing and claiming functions, identifying and coordinating access to healthcare insurance and related benefits, and providing administrative support.
">Main Responsibilities
">- Perform and assist with medical billing and claiming activities, including data entry, to obtain reimbursement for services provided by state-operated facilities and community-based programs.
- Meet all claiming, eligibility, and accounts receivable deadlines.
- Identify and coordinate access to Medicaid (MassHealth), Medicare, and commercial healthcare insurance, Social Security Administration, and other programs and benefits.
- Provide proactive support and work with clients, clients' families, guardians, and representatives to complete and process applications, forms, and other documents required to determine, redetermine, validate, reinstate, and maintain healthcare coverage and related benefits.
- Review and analyze data, maintain and update spreadsheets, databases, and systems, and resolve discrepancies.
- Offer professional customer service, responding to and following up on inquiries.
- Write, review, prepare, and maintain business documents, including reports, contracts, manuals, procedures, and presentations.
- Participate in professional training and cross-training activities to enhance performance and skills.
- Collaborate with colleagues to achieve quality improvement initiatives and projects.
Requirements
">- 1-3 years of experience in a related field.
- Familiarity with database and spreadsheet applications, such as Microsoft Office, including Word, Excel, Teams, and OneDrive.
- Effective communication and adaptability skills.
Preferred Qualifications
">- Experience in medical billing or healthcare insurance.
- Knowledge of state and federal rules and regulations related to healthcare finance.
- Awareness of state and federal information systems, such as Meditech, MA21, MMIS, and MMARS.
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