Vinfen · 3 months ago
Billing Associate II
Cambridge, MA, 02141-1001, United States
Full-time
Onsite
New Grad, Entry Level
$25/hr - $26.50/hrVinfen is a nonprofit, health and human services organization and a leading provider of community-based services. The Reimbursement & Billing Specialist coordinates the analysis and effective resolution of denied claims with the purpose of reducing overall denials and increasing revenue.
AssociationHealth Care
Responsibilities
Interpreting payment and denial data down to the line item detail
Identifying payer and coding trends, risks, and opportunities, and to implement operational and/or systematic improvements
Researches, develops, and maintains a solid understanding of payer requirements, including filing limit, claim processing logic, coordination of benefits requirements, patient responsibility and authorization requirements
Triages denied claims to identify appropriate action to ensure timely processing and payment
Performs ongoing analysis to determine the root cause of denials and proactively alert management to issues and trends
Proactively makes recommendations for workflow, operational, and/or systemic changes to reduce denials and speed up collections
Assists in developing and modifying tracking and reporting process for denials, appeals status and appeals results. Ensures that all denials are tracked and the appeals are monitored accordingly
Performs other duties as required
Qualification
Required
Coordinates the analysis and effective resolution of denied claims with the purpose of reducing overall denials and increasing revenue
Responsible for prioritizing and managing to resolution denied claims with government and third party payers
Interpreting payment and denial data down to the line item detail
Identifying payer and coding trends, risks, and opportunities, and to implement operational and/or systematic improvements
Researches, develops, and maintains a solid understanding of payer requirements, including filing limit, claim processing logic, coordination of benefits requirements, patient responsibility and authorization requirements
Triages denied claims to identify appropriate action to ensure timely processing and payment
Performs ongoing analysis to determine the root cause of denials and proactively alert management to issues and trends
Proactively makes recommendations for workflow, operational, and/or systemic changes to reduce denials and speed up collections
Assists in developing and modifying tracking and reporting process for denials, appeals status and appeals results
Ensures that all denials are tracked and the appeals are monitored accordingly
Performs other duties as required
Benefits
Medical, Dental and Vision Insurance for employees working 30 hours or more
15 days of Vacation, 12 Paid Holidays, 10 Sick Days and 3 Personal Days per year (for employees scheduled for 20 hours or more)
Education Assistance and Tuition Remission Programs as well as innovative Student Loan Payment Programs. Employment with Vinfen counts toward your Public Student Loan Forgiveness eligibility
Professional Development programs including year-round online training courses and opportunities to earn CEUs
Retirement savings programs, including a fully funded, employer sponsored retirement plan and an employee funded 403 (b) plan
Company paid Life, Accidental Death & Dismemberment and Long-Term Disability Insurance
Voluntary Term, Whole Life, Accident and Critical Care Insurance
Flexible Spending Reimbursement Accounts (Health and Dependent care)
$500 -- $1,000+ Employee Referral Bonuses with no annual cap!
Other generous benefits including discounted memberships, access to wellness programs and more!
Company
Vinfen
Vinfen is a nonprofit, health and human services organization that provides services to people with disabilities or life challenges.
Founded in 1977
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Jean (Qing) Yang
President and CEO
Annette Kovamees
Interim Chief Financial Officer
Recent News
2025-05-30
2023-12-18
Vietnam Insider
2022-01-21
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