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HealthDrive Corporation · 9 hours ago

Billing Specialist

Framingham, MA

Full-time

Hybrid

New Grad, Entry Level

$17/hr - $21/hr

HealthDrive Corporation is seeking a full-time Billing Specialist to join their team, responsible for the accurate and timely processing of billing duties. The role focuses on sending clean claims to enhance cash collections and reduce Days Sales Outstanding (DSO).

Health CareHospitalMedical

Responsibilities

Review, prepare, and accurately submit assigned charges on a daily basis

Perform manual billing for certain hardware orders from dispense paperwork within 24 hours of receipt

Identify and communicate billing corrections to providers and perform follow-up to ensure corrections are processed in a timely manner within established guidelines

Review, communicate, and work with providers to resolve billing corrections

Reprocess certain denials outlined by the supervisor in a timely manner

Meet or exceed daily productivity objectives for all assigned duties

Respond to email inquiries regarding billing related questions/issues within 24 hours

Process insurance updates daily

Review explanation of benefits from insurance payers for issues requiring follow up and resolution includes but is not limited to the following: Claims denied for unable to identify patient /patient not covered on date of service

Conduct timely follow-up with insurance payers, patients, responsible parties and/or facilities to obtain corrected/updated billing information

Utilize insurance eligibility websites as needed to verify new insurance information received from patient, RP or facility prior to rebilling

Administrative tasks including but not limited to: Assist with mailings, filing, processing refunds, and document scanning

Access the Clearinghouse to identify and correct rejected claims

Other duties and tasks may be assigned as appropriate or necessary

Qualification

Medical billing experienceCPT ICD10 codesMedicare billingData entry skillsInsurance carrier websitesCustomer service skillsMicrosoft ApplicationsTime management skillsInterpersonal skillsOrganizational skills

Required

Excellent attention to detail and strong data entry skills with extensive knowledge of physician billing to Medicare, Medicaid and other insurance plans

Excellent interpersonal and customer service skills and the ability to communicate effectively and appropriately both verbally and in writing

Highly organized, have the ability to work in a fast-paced environment, be comfortable and effective working with both custom and 'off the shelf' computer applications

Familiar with and experienced using online tools and insurance carrier websites

The individual should be self-motivated with excellent time management skills and a proven track record of consistently achieving assigned objectives

The ability to work effectively with minimal supervision who can work well independently and in a team-oriented environment

Have a positive attitude and adapt to change well

Must be fully proficient in using Microsoft Applications, especially Teams, Excel, Outlook and Word

Experience in 3rd party medical billing and/or collections

Experience and knowledge of healthcare and medical terminology, including but not limited to: CPT ICD10 codes and use of modifiers