Medical Biller
Account representative job in Pawtucket, RI
As a Billing Specialist, you will manage the end-to-end medical billing process for multiple hospitals, facilities, and clients. Your role will involve entering and verifying patient and insurance information, coding procedures accurately, and submitting claims for professional services (Pro Fee). You will follow up on unpaid or denied claims, resolve discrepancies, and ensure compliance with payer requirements. Additionally, you'll collaborate with internal teams and external partners to maintain accurate records and support the acquisition transition. This position requires strong attention to detail, familiarity with medical billing systems, and the ability to work efficiently in a fast-paced environment.
REQUIRED SKILLS AND EXPERIENCE
Minimum 1-3 years in medical billing
Medical Billing or Pro Fee billing Experience
Familiarity with claims processing or CPC certification
Onsite Requirement: Must work onsite in Pawtucket, RI, 5 days per week
Schedule: 8am-5pm EST
HS diploma
Revenue Cycle/Collections Specialist
Account representative job in Providence, RI
The Revenue Cycle Specialist plays an essential role in ensuring the accurate and efficient management of the healthcare center's billing, reimbursement, and financial processes. This position is responsible for performing end-to-end revenue cycle functions including patient registration accuracy, insurance verification, charge capture review, claims submission, payment posting, and account follow-up. The specialist works closely with clinical, billing, and administrative teams to promote optimal reimbursement, minimize denials, and support the financial health of the organization.
Key Responsibilities
Billing & Claims Management
Prepare, review, and submit clean claims to payers in a timely manner.
Monitor claim statuses, resolve rejections, and correct billing errors.
Conduct follow-up with insurance companies to ensure prompt reimbursement.
Identify and address recurring claim issues and work with internal teams to resolve root causes.
Billing Coordinator
Account representative job in Boston, MA
SDL is partnering with a professional services firm seeking a detail-oriented and proactive Billing Coordinator to join our finance team. This is a key role responsible for supporting the full billing cycle, ensuring accuracy, timeliness, and compliance with client agreements. The ideal candidate will be a strong communicator with a solid foundation in accounting and a keen eye for detail. This role offers a hybrid work schedule, and tons of growth opportunity!
Key Responsibilities:
Prepare, review, and issue client invoices in accordance with contract terms and billing schedules
Collaborate with project managers and client service teams to gather necessary billing data, including time entries, expenses, and deliverables
Monitor billing activity to ensure accuracy, completeness, and timely processing
Identify and resolve billing discrepancies or issues in coordination with internal teams and clients
Maintain accurate records of client billing information and support month-end close processes
Assist with accounts receivable tracking and follow-up on outstanding balances
Support ad hoc financial reporting and special projects as assigned
Qualifications:
Bachelors degree in Accounting, Finance, or a related field
Minimum of 1 year of experience in operational accounting and/or billing, preferably in a professional services or client-facing environment
Strong understanding of basic accounting principles and billing processes
Excellent organizational skills with a high level of accuracy and attention to detail
Proficiency in Microsoft Excel
Strong interpersonal and communication skills, with the ability to work collaboratively across departments and with clients
Collection Representative Patient Billing Services
Account representative job in Somerville, MA
Site: Mass General Brigham Incorporated
Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Job Summary
The Collection Representative is responsible for communicating with patients, insurance companies, and other parties to collect outstanding balances, resolve billing disputes, and ensure proper reimbursement for the hospital.
Essential Functions:
-Monitor and manage the accounts receivable of the hospital by reviewing and following up on outstanding balances.
-Communicate with insurance companies, patients, and other relevant parties to resolve billing issues and outstanding claims.
-Contact patients and insurance companies via phone calls, emails, or written correspondence to collect outstanding balances.
-Investigate and resolve billing disputes or discrepancies by gathering necessary documentation, coordinating with the billing department, and communicating with patients or their representatives.
-Verify insurance coverage and eligibility for patients, ensuring accurate billing and claim submission.
-Assist patients in understanding their medical bills, insurance coverage, and payment options.
-Maintain accurate and up-to-date records of collections activities, payment arrangements, and communication with patients and insurance companies.
Justification
Justification
MGB Enterprise is hiring an exceptional Customer Service Professional for our Team!
Qualifications
High School Diploma or Equivalent required or Associate's Degree Healthcare Management preferred
Collections Experience 1-2 years preferred
Knowledge, Skills and Abilities
Knowledge of medical billing processes, insurance claim submission, and reimbursement principles.
Familiarity with insurance plans, government programs, and their billing requirements.
Excellent communication skills, both written and verbal, to interact effectively with patients, insurance companies, and colleagues.
Strong negotiation and problem-solving skills to resolve billing disputes and collect outstanding balances.
Attention to detail and accuracy in recording collection activities and maintaining documentatio
Additional Job Details (if applicable)
Working Conditions Required
Monday through Friday, 8:00am to 4:30 pm ET schedule
Quiet, secure, stable, compliant work station required
Remote Type
Remote
Work Location
399 Revolution Drive
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Day (United States of America)
Pay Range
$17.36 - $24.79/Hourly
Grade
2
At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.
EEO Statement:
Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************.
Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
Auto-ApplyPatient Accounts Billing Representative
Account representative job in Methuen Town, MA
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.
* 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.
Qualifications:
* 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.
GLFHC offers a great working environment, comprehensive benefit package, growth opportunities and tuition reimbursement.
Account Service Representative
Account representative job in Boston, MA
Residency Requirement
Employees must be Boston residents on their date of hire and for the duration of their
employment subject to BWSC policies and collective bargaining agreements.
Performs general administrative and customer service duties and all other related work in order to fully support the daily operations of the Account Services Department within the Commission; ensures organizational efficiency in the application of prescribed policies, procedures, and methods.
Responsibilities
Essential Functions:
(The essential functions or duties listed below are intended only as illustrations of the various types of work that may be performed. The omission of specific statements of duties does not exclude them from the position if the work is similar, related or a logical assignment to the position.)
Resolves inquiries/disputes from the general public via phone, letter, e-mail and in person, concerning billing, metering, collection and other water/sewer matters.
Analyzes, researches and takes corrective action on accounts utilizing billing and meter records, premise and hearing files, microfiche, CIS system, work order systems and computer applications.
Contacts customers for payment of accounts or arranges for payment on delinquent accounts using the Billing, Termination and Appeal Procedures (“BTA”) and other approved procedures.
Prepares and process forms and correspondence.
Types, files, coordinates, and maintains various manuals and automated filing systems.
Investigates accounts to determine ownership and liability for balances. Researches bills returned as undeliverable via online databases.
Contacts customers with delinquent accounts to secure payment via outgoing manual calls, written correspondence and automated dialer software. Researches bank foreclosed properties using various software and online databases.
Maintains accurate records using both manual and computer entries. Utilizes reports via AMR database to contact customers for MTU repairs and notify customers of unusual consumption patterns.
Processes all meter reading activity reports and billing information using system software.
Coordinates and schedules meter installation, MTU installation, meter tests, investigations, water turn-on and offs, fire pipe inspections, and other appointments with various Commission departments.
Transmits and receives information and instruction via radio and telephone. Opens and closes work orders.
Answers telephone and directs calls using automated switchboard equipment.
Performs similar or related work as required, directed or as situation dictates.
Qualifications
Recommended Minimum Qualifications:
Education, Training and Experience:
High School Diploma or equivalent required. One to two (1 - 2) years of customer service or similar experience, preferably in the public sector working with local government. Any equivalent combination of education, training, and experience.
Knowledge, Ability and Skill:
Knowledge:
Familiarity with basic office procedures; working knowledge of MS Office applications including Outlook; working knowledge of departmental policies and procedures.
Ability:
Communicate effectively and tactfully with staff and the public; compose correspondence; prioritize and complete multiple tasks at one time with frequent interruptions; operate a computer with intermediate MS Office skills; manage databases as required by the position; create spreadsheets and maintain records; use telephone system.
Skill:
Excellent customer service skills; strong organizational skills; skills in all of the above listed tools and equipment.
Physical Requirements:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this job, the employee is frequently required to work at a desk and is regularly required to convey information to employees and the public and move about inside the office to access file cabinets and office machinery. The employee must occasionally lift and/or move objects weighing up to 10 pounds, such as supplies, folders, and books. Certain tasks require the ability to view computer screens for extended periods of time.
Supervision:
Supervision Scope:
This position performs various duties requiring a thorough knowledge of departmental operations and the ability to complete assigned tasks according to established procedures and protocol.
Supervision Received:
Works under the general direction of the Supervisor of Collections/Customer Services and in accordance with applicable Massachusetts General Laws, city policies and relevant state, federal, and local regulations and standards. Follows established work plan and completes work in accordance with established departmental policies and standards; issues are referred to supervisor.
Supervision Given:
None.
Job Environment:
Work is performed under typical office conditions; work environment is moderately noisy.
Operates computer, calculator, copier, facsimile machine, and other standard office equipment.
Contacts are by phone, through correspondence, and in person; they generally consist of an information exchange dialogue, discussing routine and semi-complex issues.
Errors could result in delay of department services and have legal and/or financial repercussions.
Affirmative Action/Equal Employment Opportunity Employer
Auto-ApplyCollection Representative Patient Billing Services
Account representative job in Somerville, MA
Site: Mass General Brigham Incorporated Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham.
Job Summary
The Collection Representative is responsible for communicating with patients, insurance companies, and other parties to collect outstanding balances, resolve billing disputes, and ensure proper reimbursement for the hospital.
Essential Functions:
* Monitor and manage the accounts receivable of the hospital by reviewing and following up on outstanding balances.
* Communicate with insurance companies, patients, and other relevant parties to resolve billing issues and outstanding claims.
* Contact patients and insurance companies via phone calls, emails, or written correspondence to collect outstanding balances.
* Investigate and resolve billing disputes or discrepancies by gathering necessary documentation, coordinating with the billing department, and communicating with patients or their representatives.
* Verify insurance coverage and eligibility for patients, ensuring accurate billing and claim submission.
* Assist patients in understanding their medical bills, insurance coverage, and payment options.
* Maintain accurate and up-to-date records of collections activities, payment arrangements, and communication with patients and insurance companies.
Justification
Justification
MGB Enterprise is hiring an exceptional Customer Service Professional for our Team!
Qualifications
* High School Diploma or Equivalent required or Associate's Degree Healthcare Management preferred
* Collections Experience 1-2 years preferred
Knowledge, Skills and Abilities
* Knowledge of medical billing processes, insurance claim submission, and reimbursement principles.
* Familiarity with insurance plans, government programs, and their billing requirements.
* Excellent communication skills, both written and verbal, to interact effectively with patients, insurance companies, and colleagues.
* Strong negotiation and problem-solving skills to resolve billing disputes and collect outstanding balances.
* Attention to detail and accuracy in recording collection activities and maintaining documentatio
Additional Job Details (if applicable)
Working Conditions Required
* Monday through Friday, 8:00am to 4:30 pm ET schedule
* Quiet, secure, stable, compliant work station required
Remote Type
Remote
Work Location
399 Revolution Drive
Scheduled Weekly Hours
40
Employee Type
Regular
Work Shift
Day (United States of America)
Pay Range
$17.36 - $24.79/Hourly
Grade
2
At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package.
EEO Statement:
Mass General Brigham Incorporated is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************.
Mass General Brigham Competency Framework
At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
Auto-ApplyASAP Billing Specialist
Account representative job in Auburn, MA
Job DescriptionGuardian Angel Senior Services is a family-owned Home Care Agency in business for 22 years. Our growing company is looking for support in our Fiscal Department. Basic FunctionThe Billing Specialist is responsible for all aspects of billing, payroll, grant report entry, and ensuring operational effectiveness by implementing new technologies. Additional miscellaneous tasks, and projects, as needed.
Responsibilities:
Serve as primary biller for assigned Aging Services Access Points
Create/Save/Upload billing reports/Files
Investigate and correct, when applicable. pre-billing errors.
Confirm all reports balance prior to creating files for submission
Create billing claims and correspondence.
Working with Wellsky on a regular basis
Make corrections on billing spreadsheet, coversheet, Generations and Wellsky, when able, e-mail appropriate staff for assistance with remaining errors
Run Timesheets
E-mail error log and coversheet to ASAP
Continuously follow up on error correction progress
Confirm Generations Billing report equals final billing numbers from ASAP or Wellsky Service delivery report
Save final Service Delivery Report to appropriate ASAP file
Provide consulting services on matters related to billing.
Always maintains the confidentiality of patient and organization information.
Qualifications
Ability to work independently, while meeting company deadlines
Ability to manage multiple projects, prioritize, and multi-task
Commitment to completing tasks
Excel at operating in fast paced environments
Excellent people skills, open to direction and collaborative work style
Must have strong verbal and written communication skills
Knowledge of QuickBooks a plus
Other Skills:
Technical Communication
Customer Relations
Customer Service
Diplomacy
Filing
MS Office
Negotiations
Organization
Planning
Professionalism
Project Management
Presentation
QuickBooks
Time Management
Typing Skills
Sales
Education/Training
Experience
Prior home care experience required.
Prior billing / payroll experience required.Apply Today!
Submit Resume for Consideration
Guardian Angel Senior Services is an Equal Opportunity Employer. We do not discriminate against race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, age, disability, or genetic information.
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Billing Specialist
Account representative job in Framingham, MA
HealthDrive is seeking full-time Billing Specialist to join our team! The Billing Specialist is responsible for the accurate and timely processing of assigned billing duties on a daily basis with the primary goal of sending a clean claim the first time to increase cash collections and reduce DSO. The hourly pay range for this position is $17.00 - $21.00 per hour.
We are conveniently located off Route 9 in Framingham, MA, close to routes 90 and 495 in a spacious modern office with a workout center available right in the building!
What's in it for you: PPO Medical, Dental, and Vision Insurance, 401(k) + Company match, Paid Time Off, hybrid schedule opportunity, monthly meal program, Verizon Wireless, Dell, and other employee discounts, profit sharing, and employee referral bonuses.
HealthDrive delivers on-site dentistry, optometry, podiatry, audiology, behavioral health, and primary care services to residents in long-term care, skilled nursing, and assisted living facilities. Each specialty offered by HealthDrive is one that directly impacts the quality of daily life for the deserving residents we serve. HealthDrive connects patients in need of vital healthcare to doctors committed to dignity and excellence.
HealthDrive is a place where everyone can grow and training is provided. Join our diverse team today!
Responsibilities
* Review, prepare, and accurately submit assigned charges on a daily basis.
* Perform manual billing for certain hardware orders from dispense paperwork within 24 hours of receipt.
* Identify and communicate billing corrections to providers and perform follow-up to ensure corrections are processed in a timely manner within established guidelines.
* Review, communicate, and work with providers to resolve billing corrections.
* Reprocess certain denials outlined by the supervisor in a timely manner.
* Meet or exceed daily productivity objectives for all assigned duties.
* Respond to email inquiries regarding billing related questions/issues within 24 hours.
* Process insurance updates daily.
* Review explanation of benefits from insurance payers for issues requiring follow up and resolution includes but is not limited to the following:
* Claims denied for unable to identify patient /patient not covered on date of service.
* Conduct timely follow-up with insurance payers, patients, responsible parties and/or facilities to obtain corrected/updated billing information.
* Utilize insurance eligibility websites as needed to verify new insurance information received from patient, RP or facility prior to rebilling.
* Administrative tasks including but not limited to:
* Assist with mailings, filing, processing refunds, and document scanning.
* Access the Clearinghouse to identify and correct rejected claims.
* Other duties and tasks may be assigned as appropriate or necessary.
Qualifications
Skills & Specifications:
* Excellent attention to detail and strong data entry skills with extensive knowledge of physician billing to Medicare, Medicaid and other insurance plans.
* Excellent interpersonal and customer service skills and the ability to communicate effectively and appropriately both verbally and in writing.
* Highly organized, have the ability to work in a fast-paced environment, be comfortable and effective working with both custom and "off the shelf" computer applications.
* Familiar with and experienced using online tools and insurance carrier websites.
* The individual should be self-motivated with excellent time management skills and a proven track record of consistently achieving assigned objectives.
* The ability to work effectively with minimal supervision who can work well independently and in a team-oriented environment.
* Have a positive attitude and adapt to change well.
* Must be fully proficient in using Microsoft Applications, especially Teams, Excel, Outlook and Word.
Education & Qualifications:
Experience in 3rd party medical billing and/or collections. Experience and knowledge of healthcare and medical terminology, including but not limited to: CPT ICD10 codes and use of modifiers. Experience in billing Medicare Part B, Medicare Replacement plans, and Medicaid for large multispecialty physician practice preferred. Experience in denial management preferred.
Auto-ApplyPatient Accounting Billing Specialist
Account representative job in Brookline, MA
The selected candidate must live and work from one of the New England states (ME, NH, VT, MA, RI, CT) The primary function of the Patient Accounting Billing Specialist I is the daily management of an assigned portion of the accounts receivable, typically allocated based on alphabetical splits.
Responsibilities of the Patient Accounting Billing Specialist I include regular and consistent billing for all payers and follow-up work on Client, NMDP, Bluebird Bio, and Gift of Life accounts to ensure accurate reimbursement and final adjudication of claims as needed. Works prebilling edits in the billing and scrubber systems to ensure timely submission of claims in accordance with department expectations. May also perform other duties as assigned, including but not limited to, special patient accounting projects, charge entry, and cash applications.
The Patient Accounting Billing Specialist I will have regular exposure to patient demographics, diagnostic, and billing information. Additionally, will be exposed to physician information including physician numbers assigned by governmental agencies and insurance carriers.
Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate tomorrow's physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals.
Responsibilities
Under close supervision, the Patient Accounting Billing Specialist I:
* Reviews payments and resolve unpaid balances.
* Performs effective and timely collection activity on unpaid client accounts.
* Reviews and resolves credit on client accounts.
* Updates crossover insurance that is missing in the billing system to resolve undistributed payments.
* Triage accounts to the responsible parties in the billing system to ensure claims are addressed promptly.
* Updates issues grid with examples of impacted accounts.
* Operates on multiple systems as assigned. Will use Epic, FISS, Connex, Nehen, and FinThrive for processing and follow-up activity for Inpatient/Outpatient claims as assigned.
* Keeps informed on updates to billing requirements, editing, and payer policies affecting billing.
* Informs supervisor of changes to billing regulations.
* Meets department productivity and qualitative standards.
* Works account and claim edits in the hospital billing system.
* Works rejections, edits and accounts in the incomplete folder in the claim scrubber system (FinThrive), consistent with the department standards.
* Performs other duties as assigned.
Qualifications
MINIMUM JOB QUALIFICATIONS:
Minimum Education:
High school diploma required; associate degree preferred.
Minimum Experience:
2 years of previous billing experience required. General experience within an office setting and computer skills preferred.
License/Certification/Registration:
N/A
KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED:
* Knowledge of third-party billing regulations, as well as of hospital and/or professional operations, and third-party payer requirements.
* Ability to remain in full compliance with all departmental, institutional, and regulatory policies and procedures.
* High degree of confidentiality.
* Dependable, self-starter, and deadline driven.
* Strong oral and written communication skills.
* Ability to work independently as well as in a team setting.
Pay Transparency Statement
The hiring range is based on market pay structures, with individual salaries determined by factors such as business needs, market conditions, internal equity, and based on the candidate's relevant experience, skills and qualifications.
For union positions, the pay range is determined by the Collective Bargaining Agreement (CBA)
$25.91/hr - $28.03/hr
At Dana-Farber Cancer Institute, we work every day to create an innovative, caring, and inclusive environment where every patient, family, and staff member feels they belong. As relentless as we are in our mission to reduce the burden of cancer for all, we are committed to having faculty and staff who offer multifaceted experiences. Cancer knows no boundaries and when it comes to hiring the most dedicated and compassionate professionals, neither do we. If working in this kind of organization inspires you, we encourage you to apply.
Dana-Farber Cancer Institute is an equal opportunity employer and affirms the right of every qualified applicant to receive consideration for employment without regard to race, color, religion, sex, gender identity or expression, national origin, sexual orientation, genetic information, disability, age, ancestry, military service, protected veteran status, or other characteristics protected by law.
EEOC Poster
Auto-ApplyGovernment Billing Specialist
Account representative job in Quincy, MA
We are seeking business-oriented, customer service driven professionals to provide high quality service to our customers. As a Government Billing Specialist, you will be responsible for helping the Government Premier Team and Government Contract Team to maintain the high level of billing and invoicing accuracy that Granite is known for. You will be required to receive GSA clearance which will allow you to audit and implement billings for customers under this Federal contract.
Duties and Responsibilities:
A Government Billing Specialist is tasked with preparing for and helping manage Granite's day to day Government billing inquiries, that stem from the Government Contract team, Sales Team, Government Premier Team and Customers directly; this requires one to be able to problem solve independently and timely. You will also assist in the resolution of disputes and answer customer inquiries as they arise; whether this is through email or over the phone. This would include being able to decipher and interpret Government contracts. Along with helping answer the day to day inquiries you will also be responsible for tracking contracts, stipulations, custom reporting, and customer invoicing and portal uploads.
Required Qualifications:
* Bachelor's Degree
* Intermediate to advanced knowledge of Microsoft Excel and MS Access.
* GSA Clearance - not required in order to apply, but must be cleared in order to be a permanent employee
* Analytical
* Highly organized
* Excellent written and verbal communication
* Minimum 1 year of customer service experience
* Ability to work in an evolving, fast-paced environment with strict deadlines
Preferred Qualifications:
* Excellent customer service skills both verbal and written
* Ability to work under pressure
* Ability to meet deadlines
* Excellent problem-solving skills
* Ability to work independently without the need of micromanagement
* Strong multi-tasking and organizational skills
* Excellent interpersonal and communication skills
* Sales Force experience
Granite delivers advanced communications and technology solutions to businesses and government agencies throughout the United States and Canada. We provide exceptional customized service with an emphasis on reliability and outstanding customer support and our customers include over 85 of the Fortune 100. Granite has over $1.85 Billion in revenue with more than 2,100 employees and is headquartered in Quincy, MA. Our mission is to be the leading telecommunications company wherever we offer services as well as provide an environment where the value of each individual is recognized and where each person has the opportunity to further their growth and achieve success.
Granite has been recognized by the Boston Business Journal as one of the "Healthiest Companies" in Massachusetts for the past 15 consecutive years.
Our offices have onsite fully equipped state of the art gyms for employees at zero cost.
Granite's philanthropy is unparalleled with over $300 million in donations to organizations such as Dana Farber Cancer Institute, The ALS Foundation and the Alzheimer's Association to name a few.
We have been consistently rated a "Fastest Growing Company" by Inc. Magazine.
Granite was named to Forbes List of America's Best Employers 2022, 2023 and 2024.
Granite was recently named One of Forbes Best Employers for Diversity.
Our company's insurance package includes health, dental, vision, life, disability coverage, 401K retirement with company match, childcare benefits, tuition assistance, and more.
If you are a highly motivated individual who wants to grow your career with a fast paced and progressive company, Granite has countless opportunities for you.
EOE/M/F/Vets/Disabled
Revenue Billing Specialist
Account representative job in Waltham, MA
Joining the Benchmark Senior Living (BSL) team means putting your passion to work. Our associates feel a sense of belonging with the care that they provide, empowered by the open and reliable team that surrounds them. Our diverse and skilled workforce takes immense pride in a shared commitment: a devotion to providing caring and dedicated service. In our supportive environment, associates have the opportunity to learn and grow. With professional and personal training programs, as well as education for career advancement, we empower associates to explore their interests, feed their passion, and pursue growth opportunities. We invite you to connect with your calling, find purpose in your career, and gain lifelong relationships through the power of human connection by transforming the lives of seniors!
The Billing Specialist reports to the Director of Business Admin Operations, with a strong relationship to the Senior Director of Financials Operations, Community Accounting, Corporate Operations as well as the Director of Business Administration and Executive Director in each community being supported. This role focuses on revenue cycle activities and accounts payable.This position is a hybrid role, 3 days in office and 2 days remote.
Principal Duties/Responsibilities:
Manage and maintain the process for billing and revenue collection throughout the entire resident senior living life cycle.
Ensure the accuracy, printing, and mailing all resident statements by the 20th of the month, if this dates fall on the weekend it will be the following Monday.
Provide oversight and support to communities that have new/vacant DBA roles to ensure resident statements are reviewed prior to printing
Serve as main point of contact for any lockbox related questions or concerns
Function as lead contact for resident payment portal (Rent Café) training and questions
Provide support for billing Sysaid tickets, NSF processing, move out processing
Develop process improvements and assist with other opportunities to develop the role
Develop and maintain documentation on systems and processes to be used for associate training
Other related ad-hoc projects as assigned.
Education/Experience/Licensure/Certification:
Associate or bachelor's degree in business related field preferred
3+ years progressive revenue cycle experience
Prior experience with multi-site organization preferred
Prior experience with printing and mailing large quantities of statements
Prior experience with online bill pay system management
Required Skills/Abilities
Knowledge of Microsoft Office as well as familiarity with the Internet and its search tools
Proven multi-tasking capabilities
Excellent problem-solving skills
Strong organizational, oral and written communication skills
As a Home Office associate at Benchmark, you will have immediate access to a variety of benefits including, but not limited to, the following:
10 paid holidays plus 1 floating holiday
Vacation and Health & Wellness Paid Time Off
Tuition Reimbursement
Physical & Mental Health Wellness Programs
Medical, Vision & Dental Benefits provided by Blue Cross Blue Shield
401K Retirement Plan with Company Match
Long Term Care Insurance
Company-provided Life Insurance & Long-Term Disability
Billing Coordinator
Account representative job in Gardner, MA
Global Channel Management is a technology company that specializes in various types of recruiting and staff augmentation. Our account managers and recruiters have over a decade of experience in various verticals. GCM understands the challenges companies face when it comes to the skills and experience needed to fill the void of the day to day function. Organizations need to reduce training and labor costs but at same requiring the best "talent " for the job.
Qualifications
The Billing Coordinator researches in a fast-paced office environment
for High Volume National Accounts the necessary documentation for
consolidated billing activities while ensuring its accuracy,
accountability and timeliness to the customer. Ensures pertinent
information is included where required. Coordinates weekly sorting and
distribution of daily invoices. Coordinate monthly sorting and
distributing of escalation reports and consolidated invoice. Communicate
with Collectors and National Account Managers. Develop reports for
customer needs. Other duties as assigned.
Additional Information
$18/hr
3 months
Contract/AIA Billing Specialist
Account representative job in Pawtucket, RI
Who We Are
At Encore Fire Protection, we are proud to be the east coast's largest full-service fire protection company, serving over 90,000 customers from Maine to Louisiana. With a team of over 2,200 dedicated employees, we provide innovative, customized fire suppression, fire sprinkler, and fire alarm solutions that protect lives and properties every day. Our goal is to deliver superior experience to those who trust us to safeguard what matters most. We are passionate about continuous growth, innovation, and maintaining a culture that thrives on success and commitment to safety. Our mission?
To be the best fire protection company the industry has ever seen.
Position Overview:
Encore Fire Protection is seeking a Contract Billing Specialist to join our high-performing finance team at our Pawtucket, RI headquarters. This is a great opportunity for a detail-oriented professional with strong experience in AIA and construction billing to thrive in a dynamic, fast-paced environment.
As a Contract Billing Specialist, you will take ownership of the full billing cycle for a portfolio of over 80 active construction projects, ensuring accurate and timely invoicing. You'll serve as the key point of contact between our internal project teams and external clients, playing a vital role in ensuring financial accuracy and customer satisfaction.
Encore Fire Protection is a leading full-service fire protection company serving the Northeast from Maine to Louisiana. With over 2,000 employees and 50,000+ customers, our mission is to save lives and protect property through exceptional fire suppression, sprinkler, and alarm systems. If you're ready to be part of a rapidly growing team with a passion for purpose and results, we want to hear from you.
Responsibilities:
Prepare and submit monthly AIA billing forms (G702/G703) with accuracy and compliance.
Generate customer invoices through intercompany billing software.
Oversee billing for a portfolio of 80+ construction projects.
Partner with project managers and clients to resolve billing discrepancies and streamline processes.
Set up and maintain construction project records in SAGE, including contract changes and supporting documentation.
Review contracts to extract critical billing details, terms, and line items.
Manage lien waiver preparation and tracking (conditional, unconditional, and final).
Monitor collections on outstanding invoices and follow up on retention and change order approvals.
Track and verify Certificates of Insurance (COIs) for all relevant projects.
Audit project completions to ensure accuracy in billing and collection of retainage.
Qualifications:
Minimum 2-3 years of proven experience in AIA billing or construction project billing.
Solid understanding of accounting principles and contract billing best practices.
Strong attention to detail and organizational skills.
Proficiency in Microsoft Excel and billing/accounting systems.
Prior experience with SAGE or similar ERP platforms.
Excellent communication skills and ability to work cross-functionally.
What We Offer: At Encore, we're all about creating a culture where success is celebrated. We recognize that our work makes people's lives safer, and we reward those who contribute to our growth. Here's what you can expect:
Competitive Salary: Compensation commensurate with your experience, with the opportunity to earn performance-based bonuses tied to your personal effectiveness and contributions to the team.
Purpose-Driven Work Environment: We believe in working smarter, not harder. You'll be part of a culture that values results, and we empower our team to focus on impactful work.
Flexible Dress Code: Upon joining, you'll receive branded Encore gear and we believe in dressing for the objective, not the occasion. Most days, you can enjoy a casual work environment, but we'll dress up when the situation calls for it.
Innovative Culture: We encourage a culture of experimentation and improvement. You'll have the freedom to express your ideas and be part of a company that is always looking to improve and grow.
Tools for Success: Access to leading-edge web-based productivity tools.
Health and Wellness: Comprehensive medical, dental, and vision coverage through Blue Cross to keep you and your family healthy.
Retirement Planning: Participation in our Fidelity 401(k) plan with a company match, helping you save for your future.
Life Insurance: Company-paid life insurance policy of $50,000 to give you peace of mind.
Encore Fire Protection is an Equal Opportunity Employer.
Encore Fire Protection is an E-Verify Employer.
As an EEO/AA employer, Encore Fire Protection considers applicants for employment without regard to, and does not discriminate on the basis of, gender, sex, sexual orientation, gender identity, national origin, age, race, protected veteran status, disability, or any other legally protected status.
#LI-LP1
Auto-ApplyCollections Specialist
Account representative job in Somerville, MA
The Collection Specialist is responsible for collections of outstanding private invoices from the existing client base, resolving customer billing problems and reducing accounts receivable delinquency. This position will report to the Revenue Cycle Manager and is located out of our Somerville, MA. office.
Collections Specialist Responsibilities:
Resolve insurance related billing issues with patients and/or insurance carriers
Handling of high call volume
Serve as primary representative for patient inquiries/calls
Communicate effectively both orally and in writing
Respond to customer inquiries, resolve client discrepancies, process and review account adjustments
Demonstrate superior customer service skills and problem solving, which includes assisting the patient with alternative payment options and payment plans
Possess basic understanding of government and commercial insurance and Credit & Collections policies
Identify the need and request rebills to insurance
Handle highly confidential information with complete discretion
Maintain confidentiality of patient information while on the phone or in-person
Work aged invoices utilizing various reports and the collection module using Zoll Rescue Net
Alert Revenue Cycle Manager about potential problems that could affect collections
Meet productivity goals/benchmarks as set and communicated by the manager
Utilize available sources to obtain updated info and reissue correspondence
Additional projects and responsibilities may be assigned permanently or on an as needed basis
Collections Specialist Qualifications:
Working knowledge of Microsoft Office, including Excel, Word is a must
Strong communication, problem solving and analytical skills required
Acute attention to detail and the ability to work in a fast-paced, team-oriented environment with a focus on communication required
Outstanding customer service and phone skills
Previous collections or customer service experience a plus
Knowledge of HIPPA and healthcare policies a plus
High School diploma or GED required
Fluent in Spanish a plus, but not required
Must be positive and maintain professional demeanor at all times
Familiarity with Medicaid and Medicare guidelines
Ambulance billing experience a plus
3-5 years Accounts Receivable follow up experience
About Cataldo
Since 1977, Cataldo Ambulance Service, Inc. has continually distinguished ourselves as a leader in providing routine and emergency medical services. As the needs of the community and the patient change, we continue to introduce innovative programs to ensure the highest level of care is available to everyone in the areas we serve.
Cataldo is the largest private EMS provider and private ambulance service in Massachusetts. In addition to topping 50,000 emergency medical transportations annually through 911 contacts with multiple cities, we partner with some of Massachusetts top medical facilities to provide non-emergency medical ambulance and wheelchair transportation services. We are also an EMS provider to specialty venues like Fenway Park, TD Garden, and DCU Center.
While Cataldo began as an ambulance service company, we continue to grow through innovation and expand the services we offer to the local communities. As a public health resource, Cataldo offers training and education to the healthcare and emergency medical community through the Cataldo Education Center. This includes certification training for new employees as well as the training needed for career advancement. Through our partnerships with health systems, hospitals, managed care organizations, and others, we continue to provide in-home care through the state's first and largest Mobile Integrated Health program, SmartCare. We also have delivered more than 1.7 million Covid-19 vaccines and continue to operate testing and vaccination sites throughout the state of Massachusetts.
Auto-ApplyCollections Specialist
Account representative job in Andover, MA
Requirements
Excellent communication skills
Above average administrative and phone skills
Strong negotiation skills
Well organized, results driven
Effective decision-making skills
Professional communication skills (written and verbal) when interacting with customers.
Basic computer skills
Basic math skills. You will be required to complete a standard math skills assessment. Failure to satisfactorily complete this assessment could result in termination of employment.
Must be available to attend and complete entire training program
Physical Qualifications
Be able to lift five pounds or more
Be able to sit 90% of the work day at times
Be able to bend at the waist and be mobile when needed
Be able to read and comprehend position-specific documents and correspondence
Be able to communicate in a common language with (or to) individuals or groups verbally and/or in writing
Be able to operate a computer, phone, or equivalent device
Be able to complete a minimum of a 40-hour flexible workweek schedule
Please note that this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities required of the employee for this position. Duties, responsibilities, and activities may change at any time with or without notice. Zwicker & Associates, P.C. is committed to providing equal employment opportunities to qualified individuals with disabilities. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position. If you wish to seek an accommodation regarding the requirements for this position, please contact Human Resources.
This is a full-time, full-benefit position. The benefits package includes medical, vision, and dental insurance, long-term disability insurance, life insurance, compensated time off, paid holidays, and 401K with match.
No phone calls, no agencies, EOE, drug-free workplace.
Please review our Applicant Privacy Notice: ******************************************************
Each posted position will be active for at least five (5) business days, during which time all qualified and eligible employees can apply.
Billing Specialist
Account representative job in Andover, MA
We are seeking a detail-oriented Billing Specialist for a contract-to-hire opportunity with one of our top clients. This is a company with a lot of upward mobility and promotion opportunity. The ideal candidate will have at least 1 year of billing experience
Key Responsibilities:
Prepare and generate invoices based on client contracts, service delivery, or project milestones
Ensure accuracy of billing data by reviewing contracts, work orders, and timesheets
Research and resolve billing discrepancies and customer inquiries in a timely manner
Collaborate with internal departments (e.g., Sales, Operations, Customer Support) to ensure all billable activities are captured and processed
Maintain and update customer billing accounts, ensuring data integrity and compliance with internal controls
Assist in month-end closing procedures, including revenue recognition and reporting
Track outstanding balances and follow up on overdue payments when necessary
Support audit requests and provide documentation as needed
Requirements:
Minimum of 1 year of experience in billing, accounting, or a related finance role
Associate's degree in accounting, Finance, Business, or related field required
Bachelor's degree preferred
Patient Accounts Billing Representative
Account representative job in Methuen Town, MA
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.
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.
Qualifications:
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.
GLFHC offers a great working environment, comprehensive benefit package, growth opportunities and tuition reimbursement.
Patient Accounting Billing Specialist
Account representative job in Brookline, MA
**T** **he selected candidate must live and work from one of the New England states (ME, NH, VT, MA, RI, CT)** The primary function of the Patient Accounting Billing Specialist I is the daily management of an assigned portion of the accounts receivable, typically allocated based on alphabetical splits.
Responsibilities of the Patient Accounting Billing Specialist I include regular and consistent billing for all payers and follow-up work on Client, NMDP, Bluebird Bio, and Gift of Life accounts to ensure accurate reimbursement and final adjudication of claims as needed. Works prebilling edits in the billing and scrubber systems to ensure timely submission of claims in accordance with department expectations. May also perform other duties as assigned, including but not limited to, special patient accounting projects, charge entry, and cash applications.
The Patient Accounting Billing Specialist I will have regular exposure to patient demographics, diagnostic, and billing information. Additionally, will be exposed to physician information including physician numbers assigned by governmental agencies and insurance carriers.
Located in Boston and the surrounding communities, Dana-Farber Cancer Institute is a leader in life changing breakthroughs in cancer research and patient care. We are united in our mission of conquering cancer, HIV/AIDS and related diseases. We strive to create an inclusive, diverse, and equitable environment where we provide compassionate and comprehensive care to patients of all backgrounds, and design programs to promote public health particularly among high-risk and underserved populations. We conduct groundbreaking research that advances treatment, we educate tomorrow's physician/researchers, and we work with amazing partners, including other Harvard Medical School-affiliated hospitals.
Under close supervision, the Patient Accounting Billing Specialist I:
+ Reviews payments and resolve unpaid balances.
+ Performs effective and timely collection activity on unpaid client accounts.
+ Reviews and resolves credit on client accounts.
+ Updates crossover insurance that is missing in the billing system to resolve undistributed payments.
+ Triage accounts to the responsible parties in the billing system to ensure claims are addressed promptly.
+ Updates issues grid with examples of impacted accounts.
+ Operates on multiple systems as assigned. Will use Epic, FISS, Connex, Nehen, and FinThrive for processing and follow-up activity for Inpatient/Outpatient claims as assigned.
+ Keeps informed on updates to billing requirements, editing, and payer policies affecting billing.
+ Informs supervisor of changes to billing regulations.
+ Meets department productivity and qualitative standards.
+ Works account and claim edits in the hospital billing system.
+ Works rejections, edits and accounts in the incomplete folder in the claim scrubber system (FinThrive), consistent with the department standards.
+ Performs other duties as assigned.
**MINIMUM JOB QUALIFICATIONS:**
Minimum Education:
High school diploma required; associate degree preferred.
Minimum Experience:
2 years of previous billing experience required. General experience within an office setting and computer skills preferred.
License/Certification/Registration:
N/A
**KNOWLEDGE, SKILLS, AND ABILITIES REQUIRED:**
+ Knowledge of third-party billing regulations, as well as of hospital and/or professional operations, and third-party payer requirements.
+ Ability to remain in full compliance with all departmental, institutional, and regulatory policies and procedures.
+ High degree of confidentiality.
+ Dependable, self-starter, and deadline driven.
+ Strong oral and written communication skills.
+ Ability to work independently as well as in a team setting.
**Pay Transparency Statement**
The hiring range is based on market pay structures, with individual salaries determined by factors such as business needs, market conditions, internal equity, and based on the candidate's relevant experience, skills and qualifications.
For union positions, the pay range is determined by the Collective Bargaining Agreement (CBA)
$25.91/hr - $28.03/hr
At Dana-Farber Cancer Institute, we work every day to create an innovative, caring, and inclusive environment where every patient, family, and staff member feels they belong. As relentless as we are in our mission to reduce the burden of cancer for all, we are committed to having faculty and staff who offer multifaceted experiences. Cancer knows no boundaries and when it comes to hiring the most dedicated and compassionate professionals, neither do we. If working in this kind of organization inspires you, we encourage you to apply.
Dana-Farber Cancer Institute is an equal opportunity employer and affirms the right of every qualified applicant to receive consideration for employment without regard to race, color, religion, sex, gender identity or expression, national origin, sexual orientation, genetic information, disability, age, ancestry, military service, protected veteran status, or other characteristics protected by law.
**EEOC Poster**
Billing Coordinator
Account representative job in Westminster, MA
Global Channel Management is a technology company that specializes in various types of recruiting and staff augmentation. Our account managers and recruiters have over a decade of experience in various verticals. GCM understands the challenges companies face when it comes to the skills and experience needed to fill the void of the day to day function. Organizations need to reduce training and labor costs but at same requiring the best "talent " for the job.
Qualifications
Billing Coordinator needs BS/BA Degree ( Accounting, Business or Finance related concentration preferred)
Billing Coordinator requires:
1+year of Finance experience preferably including any or all of the following: A/R, A/P, contracts,
Sarbanes Oxley
Working knowledge of on-line systems and effective Microsoft Office skills.
Billing Coordinator duties:
The primary function of this position is to review and validate booking packages
Billing
parameters will also be reviewed and updated to maximize invoicing and
cash flow, and to facilitate compliance with Sarbanes Oxley and audit
guidelines. ---
Additional Information
$25/hr
12 MONTHS