- Reviews patient eligibility utilizing practice management function or payer websites to determine correct payer to be billed for specific dates of service.
- Prepares claim data according to department and payer regulations in order to produce a "clean" claim.
- Posts charges, payments and denials in practice management system accurately.
- Works denials and prepares appeals, resubmits claims and performs compliant actions to resolve open accounts receivable. Reports unusual trends to supervisor.
- Works with payer representative to research and resolve denials issues and obtain payer policy knowledge as necessary.
- Utilizes insurance and practice management online systems to complete all required tasks such as eligibility, claim status and claim correction.
- Processes insurance and patient refunds as necessary.
- Answers patient and department calls.
- Scans/files all relevant documentation.
- Ability to work independently and as part of a team.
- Performs other duties as assigned.
- High school diploma or equivalent.
- 1-2 years of medical billing experience, medical billing certificate, OR at least 30 days on-the-job training in EMK billing department
- Our health center requires all employees to have the most recent COVID-19 booster and the yearly flu vaccine.
- Competitive salary based on related experience
- Medical insurance starts on first day of employment.
- Health center pays 80% of medical insurance premiums.
- Includes coverage for same-sex domestic partners and gender affirming care.
- Generous time off packages
- Dental and Vision insurance
- 403b Retirement Plan with employer match
- Flexible Spending Accounts
- Employee Assistance Program
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Medical Billing Representative I - Worcester, United States - Edward M. Kennedy Community Health Center, Inc.
Description
Job Description
Job DescriptionAre you looking for a meaningful career? Are you passionate about health equity? Do you enjoy helping people?
Edward M. Kennedy Community Health Center is one of the largest community health centers in Massachusetts serving Worcester, Framingham, Milford and the surrounding communities. We are a thriving and growing organization, and our team is expanding across sites to support this growth.
We are currently hiring a Medical Billing Representative based in Worcester. This position follows department and payer processes to ensure all claims are submitted in a timely and accurate manner. The medical billing representative analyzes and reviews outstanding accounts receivables and prepares appeals and corrected claims within payer guidelines for resubmission in order to maximize reimbursement.
As an employer of choice, our inclusive workplace environment fosters teamwork, accountability and respect and supports the growth and development of each employee. We are an equal opportunity employer and embrace the richness of the diversity of our staff and community. You are a good fit for our team if you're passionate about helping people live healthier lives and enjoy working in a supportive, team-based environment.
Essential Functions:
Requirements:
Benefits:
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