Brown University Health · 7 hours ago
Billing Specialist
Providence, RI
Full-time
Onsite
Entry Level
$19.97/hr - $32.96/hr
1+ years expBrown University Health is seeking a Billing Specialist to perform insurance and billing clerical duties under the supervision of the Billing Manager. The role involves verifying patient account information, resolving billing inquiries, and ensuring compliance with third-party billing regulations.
EducationHealth CareMedicalUniversities
Responsibilities
Review federal and state documentation for changes in billing regulations
Perform posting and/or reconciliation of numerical data or departmental and/or hospital accounting records
May process patient bills to various insurance companies and social welfare programs according to established billing procedures
Review patient accounting records and documents to verify accuracy of charges and third party information and initiate corrections
May calculate bills manually using detail bills
Performs insurance billing duties/enter/edit/view claims in system, including review and verification of patient account information against insurance program specifications
Ability to identify source of entry in complex multi facility organization
Analyze and resolve problems with coding of surgical procedures and diagnosis using ICD-9, CPT-4 and HCPC coding
Effective interpersonal and communication skills required
Self-driven, results oriented with positive outlook
Ability to develop and maintain effective working relationships with staff
Act as liaison and attend meetings with both internal and external departments when necessary to perform duties and aid in organization development
Maintain productivity measures and accuracy standards defined by department
Review reports, charts, records and/or bills that were prepared or assembled by others in order to ensure that calculations are correct
Contact other departments or personnel as necessary to resolve errors and omissions
May download bills from mainframe system to claims editing system; translate claims, submit electronic and paper billing daily
Utilize variety of system necessary to resolve problems
Participate in educational programs and in-service meetings
May operate one or more standard and/or automated office machinery such as on-line computer terminal, calculator, fax machine, photocopier, and microfilm viewer
May participate in training of new employees
Maintain quality assurance, safety, environmental and infection control in accordance with established policies, procedures and objectives
Perform other related duties as required
Qualification
Required
High School diploma with proficiency in use of MS Office 2000 or later, particularly Excel and Word
One - two years' experience in health care/patient accounting or relevant setting; or equivalent combination of training and relevant work experience
Ability to identify source of entry in complex multi facility organization
Analyze and resolve problems with coding of surgical procedures and diagnosis using ICD-9, CPT-4 and HCPC coding
Effective interpersonal and communication skills required
Self-driven, results oriented with positive outlook
Ability to develop and maintain effective working relationships with staff
Maintain productivity measures and accuracy standards defined by department
Review reports, charts, records and/or bills that were prepared or assembled by others in order to ensure that calculations are correct
Contact other departments or personnel as necessary to resolve errors and omissions
Participate in educational programs and in-service meetings
Maintain quality assurance, safety, environmental and infection control in accordance with established policies, procedures and objectives
Company
Brown University Health
Brown University Health provides an integrated academic health system offering hospital services, outpatient care and clinical education.
10001+ employees
Funding
Current Stage
Late StageRecent News
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