The Wright Center for Graduate Medical Education · 5 months ago
Specialist, Billing
Scranton, PA
Full-time
Onsite
New Grad, Entry LevelThe Wright Center for Graduate Medical Education is seeking a Billing Specialist who will be responsible for all aspects of billing inpatient and outpatient claims. The role involves facilitating the claims process, ensuring compliance with regulations, and maximizing revenues through effective billing practices.
Higher Education
Responsibilities
Perform and monitor all steps in the billing processes to ensure maximum reimbursement from patients, government and commercial payers as well as from special billing arrangements
Prepare and submit clean claims to third party payers either electronically or by paper
Follow billing guidelines and legal requirements to ensure compliance with federal and state regulations
Respond to account inquiries from patients, payers, providers, and/or other staff as requested
Identify and resolve patient/insurance billing issues
Work closely with team members regarding claim appeals, denials, resolution, and education
Understand Medicare, Medicaid and other commercial payer rules and regulations applicable to billing. Update providers, learners, office staff, clinics, and faculty of changes as appropriate
Responsible for contributing to the areas for coding, billing, and documentation education that is being reviewed for all providers and residents, related to billing coding and errors
Responsible for contributing to new learner education related to billing and collections
Understand the considerations of coding in Value Based payment contracts
Responsible for reviewing and implementing changes from payer bulletins
Use online healthcare databases and other resources for verification and claim status
Deliver the highest quality service to internal and external customers
Assist other members of the team with projects as needed
Maintain strictest confidentiality; adhere to all HIPAA guidelines/regulations
Qualification
Required
Meet The Wright Center for Community Health and its affiliated entity The Wright Center for Graduate Medical Education EOS© People Analyzer Tool
Mission-oriented; represents the enterprise in a professional manner while demonstrating organizational pride
Certified Biller
FQHC Billing
Preferred
Buy in and experience working in the EOS® model (strongly preferred)
Company
The Wright Center for Graduate Medical Education
The Wright Center’s Internal Medicine, Family Medicine and Psychiatry Residencies, as well as our Cardiovascular Disease and Gastroenterology Fellowships, were designed to empower residents as innovators and nimble leaders responsive to the needs of the community they serve.
Founded in 1976
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Linda Thomas-Hemak
President and CEO
Sandra Yastremski CPA
Chief Financial Officer
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