- High School diploma or equivalency certificate (e.g. GED, HiSET, TASC Test) from an accredited institution or governmental unit required.
- Experience typically gained through 2-3 years experience working with third party billing practices, (experience with physician's billing preferred) required.
- Proven knowledge of ICD-9, CPT-4 and HCPCS coding required.
- Outstanding customer service and excellent communication skills are necessary to interact with third party agents and patients both verbally and in writing required.
- Knowledge and experience with medical terminology, strong computer skills, attention to detail and problem-solving skills are required.
- The ability to work in a fast paced environment and flexibility in adapting to changes in policies, regulations and procedures are essential.
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Medical Claims Representative - Chelmsford, United States - Atrius Health
Description
Atrius Health, an innovative healthcare leader, delivers an effective system of connected care for more than 690,000 adult and pediatric patients at 30 medical practice locations in eastern Massachusetts. Atrius Health's 645 physicians and primary care providers, along with 420 additional clinicians, work in close collaboration with hospital partners, community specialists and skilled nursing facilities. Our vision is to transform care to improve lives. Atrius Health provides high-quality, patient-centered, coordinated, cost effective care to every patient we serve. By establishing a solid foundation of shared decision making, understanding and trust with each of its patients, Atrius Health enhances their health and enriches their lives. Atrius Health is part of Optum, a health services company focused on building the leading value-based care system in the country.
The full job description covers all associated skills, previous experience, and any qualifications that applicants are expected to have.SUMMARY
This position is looking for a Medical Claims Representative to join the Self Pay team at our Chelmsford location with a schedule of 9:30a- 6:00p Monday- Friday. This location offers great benefits, an option for hybrid/ remote schedule, and endless opportunity for growth in the healthcare field.
Under general supervision, is responsible for timely and accurate follow up and resolution of all unpaid patient balances. Responds to a high volume of patient calls generated from self-pay statements, analyzes self-pay balances to determine patient responsibility, obtains and enters accurate insurance information, submitsservices to the insurance carrier, establishes payment plans, processes patient payments, researches all returned mail and prepares non-collectible accounts for the collection agency. Typically reports to Patient Billing Supervisor.
EDUCATION/LICENSES/CERTIFICATIONSEXPERIENCE
Atrius Health is committed to a policy of non-discrimination and equal employment opportunity. All patients, employees, applicants, and other constituents of Atrius Health will be treated with respect and dignity regardless of race, national origin, gender, age, religion, disability, veteran status, marital/domestic partner status, parental status, sexual orientation and gender identity and/or expression, or other dimensions of diversity.
Benefits Include:
Up to 8% company retirement contribution,
Generous Paid Time Off
10 paid holidays,
Paid professional development,
Generous health and welfare benefit package.
Atrius Health is an equal opportunity/affirmative action employer and does not discriminate in recruiting, hiring, training, promoting or any other employment practices on the basis of race, color, religion, sex, marital status, age, sexual orientation, gender identity, national origin, military service or application for military service, veteran or disability status.
Applicants have rights under Federal Employment Laws: Family and Medical Leave Act (FMLA);Equal Employment Opportunity (EEO); and Employee Polygraph Protection Act (EPPA).
VEVRAA Federal Contractor
Request Priority Protected Veteran & Disabled Referrals for all of our locations within the state
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