- 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.
- Prepares, reviews and transmits claims timely to payers, works EDI rejections.
- 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.
- 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. Assist in telephone inquiries regarding patient statements. Establish payment arrangements when appropriate.
- Reconcile all batch totals at day end to ensure accuracy of totals posted and transactions on charge capture. Identify and correct any discrepancies prior to opening any future batch.
- 1-2 years of medical billing experience, or medical billing certification
- Knowledge of CPT, ICD10 coding and compliance preferred.
- Familiar with Medical terminology
- Combination of education and equivalent experience will be considered.
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Collection Representative
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Partners Healthcare System Somerville, United StatesAbout Us · As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Brigham and Women's Hospital and Massachusetts General Hospital, Mass Ge ...
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Collection Representative
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Mass General Brigham Somerville, United States RegularCollection Representative Description About Us · As a not-for-profit organization, Mass General Brigham is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Brigham and Women's Hospital an ...
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Averhealth Boston, MA, United States Full timeThis is an entry-level position and is a great way to gain skills to start a career in the medical, addiction services, law enforcement, or emergency services field and a great opportunity for you as you will be working with those struggling with addiction. · Averhealth is curre ...
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Comcast Corporation New Hampshire, United States Full timeComcast brings together the best in media and technology. We drive innovation to create the world's best entertainment and online experiences. As a Fortune 50 leader, we set the pace in a variety of innovative and fascinating businesses and create career opportunities across a wi ...
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Velocity Ventures Methuen Town, MA, United States Freelance**Apply directly via messenger: WhatsApp: ** · **Forklift Driver** · Location: Methuen Town, MA · Working hours: 35 hours per week · **RESPECTFUL, FRIENDLY, HONEST & RELIABLE?** · Then we are looking for you as a **Forklift Driver / Order Picker / Warehouse Specialist** to streng ...
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A.I.M. Mutual Insurance Companies Burlington, United StatesJob Description · Job DescriptionAsk Yourself This... · Do you enjoy solving new problems every day? Are you driven by working in a fast-paced collections environment? Do you have an above average attention to detail and strong commitment to completing tasks on time? Then join us ...
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Raytheon Andover, United States**Date Posted**: · **Country**: · United States of America · **Location**: · MA101: Andover MA 350 Lowell St Essex 350 Lowell Street Essex, Andover, MA, 01810 USA · **Position Role Type**: · Onsite · At Raytheon, the foundation of everything we do is rooted in our values and a hi ...
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Patient Registration Representative
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Mobility Bone & Joint Institute Andover, United StatesMobility Bone & Joint Institute a 20+ provider practice with offices in Andover and Haverhill MA and Salem NH, seeks to hire Patient Registration Representatives. This position will be responsible for inbound and outbound calls to welcome patients into our practice, clarify their ...
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Equipment Manager for Sy 24-25
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Greater Lawrence Technical School Andover, United States**Issue all necessary football equipment**: helmets, shoulder pads, etc.Issue football uniforms to all teams. game and practice uniforms; communicate and schedule times for issuing football player equipment and uniformsHe/She must be available every day after school/before practi ...
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Equipment Manager for Sy 24-25
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Greater Lawrence Technical School Andover, United StatesCommunicate with coaches and AD to decide what needs each team has for their upcoming season.Communicate with the Athletic Director (AD) to set a budget for the upcoming year for each sports equipment. Come up with a list of equipment needs for each sport. Know and understand wha ...
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Raytheon Andover, United States**Date Posted**: · **Country**: · United States of America · **Location**: · MA101: Andover MA 350 Lowell St Essex 350 Lowell Street Essex, Andover, MA, 01810 USA · **Position Role Type**: · Hybrid · At Raytheon, the foundation of everything we do is rooted in our values and a hi ...
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Commercial Design Sales Consultant
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Hueman PE Talent Solutions Haverhill, United StatesWalpole Outdoors is hiring a Design Sales Consultant for their North East MA territory. · As a Design Sales Consultant, you will travel to the client's property to determine how Walpole Outdoors products may improve the property's aesthetic or functional quality. After consultati ...
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Patient Service Representative
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Tufts Medicine Lowell, United StatesWe're saving lives, building careers, and reimagining healthcare. We can't wait to grow alongside you. · **Hours**:8 hours per week. Every other weekend (Saturday/Sunday) from 3:00 PM to 11:30 PM. · **Location**:Onsite at Saints Campus - Lowell General Hospital (1 Hospital Dr, Lo ...
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B.E.S.T. Physical Therapy Middlesex, United StatesJob Overview: · Duties and Skills required for this position include: · Knowledge of Medicare, Worker's compensation, Motor Vehicle and New Jersey Private insurance reimbursement guidelines and billing procedures. · Proficiency with ICD10 and all Physical Therapy/Rehab codes. · E ...
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National Grid Lowell, United Statespay: $21.46 per hour · **Key Accountabilities**: · - All meter reading (Pedestrian, AMR, soft off and on) · - Physical offs · - ERT changes · - Leak Survey and Leak Surveillance (including leak classification) · - Field collections · - Wires down standby · - Assist on two-person ...
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Fresenius Medical Care Lowell, United States Full timePOSITION FEATURES: · In this role, the RN will participate in our Transitional Care Program. That program entails the following: · Following all newly admitted patients through their first 4 weeks of dialysis and coordinating their transitional dialysis care · Coordinating all ed ...
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LOWELL COMMUNITY HEALTH CENTER Lowell, United States**SUMMARY**: · Under the direction of a Registered or Licensed Practical Nurse, the medical assistant provides direct patient care and assists other healthcare professionals in examining and treating patients. The medical assistant is clinically knowledgeable about practices, pro ...
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Registered Nurse
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Fresenius Medical Care Lowell, United States Full timePOSITION FEATURES: · Location: 847 Rogers Street, Suite 101, Lowell, MA · 2021 and 2022 America's 'Most Loved Workplaces' by Newsweek · NO Overnight, Sunday or on-call shifts. · Major holidays off (Thanksgiving, Christmas and New Years Days) · No prior RN dialysis experience requ ...
Patient Accounts Collection Representative - Methuen, United States - Greater Lawrence Family Health Center
Description
Established in 1980, the Greater Lawrence Family Health Center, Inc.(GLFHC) is a multi-site, mission-driven, non-profit organization employing over 700 staff whose primary focus is providing the highest quality patient care to a culturally diverse population throughout the Merrimack Valley.
Nationally recognized as a leader in community medicine (family practice, pediatrics, internal medicine, and geriatrics), GLFHC has clinical sites in Lawrence, Methuen, and Haverhill and is the sponsoring organization for the Lawrence Family Medicine Residency program.
GLFHC is currently seeking a Patient Accounts Billing Representative. Follows department and payer processes to ensure all claims are submitted in a timely and accurate manner. Analyzes and reviews outstanding accounts receivables. Prepares appeals and corrected claims within payer guidelines for resubmission in order to maximize reimbursement.Qualifications:
Experience
