Medical Billing A/R Specialist - Healthcare

Essential Duties & Responsibilities

• Tracks all incoming claims denials (Mail, EOB’s, from clinics).
• Reviews denied claims, makes required corrections and resubmits to appropriate insurance within 10 days of receipt of denial.
• Verifies if claim denial is a COB (Coordination of Benefits) claim and sends to appropriate insurance with COB information required.
• Enters claims and COB information into website for patients with Mass Health as secondary insurance.
• Enters new patient insurance information into billing software if changes are found.
• Enters alerts into system to alert fiscal clerks to patient charges added to account.
• Checks insurances online or calls insurance to verify eligibility as needed.
• Runs Alpha List update spreadsheet and other reports as needed.
• Enters authorizations as they are received.
• Maintains confidentiality of all information; adheres to all HIPAA guidelines and regulations.
• Able to handle stressful situations and interact with others.
• Must be present during working hours at the office for in person meetings and access to a computer without violating company policy.
• Other related duties and responsibilities as determined by Supervisor.

Qualifications

• High school diploma or equivalent required.
• Minimum of 3 years of experience in an office setting preferred.
• Experience with Medicare, Medicaid, Commercial Insurances, etc. required.
• Experience with Insurance Eligibility verification required.
• Must be computer literate (programs, software, email, spreadsheets).
• Proficient with Microsoft Word & Excel required.
• Excellent verbal and written communication skills required.
• Typing and data entry skills required.
• Working knowledge of Health and Safety requirements preferred.
• Satisfactory drug screen and criminal background.

Pay

Salary range from $20.00 to $24.00 an hour. The salary of the candidate(s) selected for this role will be set based on a variety of factors, including but not limited to, experience, education, specialty, and training.

Benefits

• 401K match
• Medical, Dental, Vision Insurance
• Voluntary Worksite Benefits (i.e., Accidental Injury)
• Company paid Short & Long Term Disability
• Company paid Basic Life Insurance
• Paid Time Off
• Bereavement Leave
• Paid Flexible Sick Time
• Employee Referral Program
• BayMark Perks Program
• Jury Duty & Witness Duty Leave
• BayMark University Learning

Total Compensation

Total compensation goes beyond the value on the paycheck. Please consider the total compensation package by contacting us at BayMark Health Services for more information.