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
Customer Service
Account representative job in Winthrop Town, MA
Adecco Staffing is working with a medical call center company in Boston, MA. We are looking for experienced Call Center Representatives on 1st & 2nd shift. This is a temp-to-perm opportunity. Pay Rate Range: $20 - $23 per hour Schedule(s)/Hours: 1st Shift: 7:00AM -6:00 PM. 5 Day work week, Saturdays are required
2nd shift: 2pm-11pm SATURDAYS ARE REQUIRED.
Position Title: Call Center Representative
Responsibilities Include:
· Serve as frontline operator for clients both during peak times and off-hours for various private medical offices and businesses.
· Take messages for non-urgent situations (i.e. appointments, prescription refills, doctor's notes) and page on call medical staff with urgent situations.
· Answer main line for several hospitals and medical practices and serve as first point of contact for their incoming calls.
· Responsible for efficiently and courteously handling calls and directing them to the appropriate department or individual.
· Answer emergency code calls and providing quick response to call ins.
Qualifications include:
· Prior call center experience required.
· Previous experience in medical call center preferred.
· Typing speed of 40 words per minute preferred.
· Clear & professional speaking voice.
· Ability to maintain customer service.
· High School diploma required.
*If you are interested, please apply directly to this job posting!*
Pay Details: $20.00 to $23.00 per hour
Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.
Equal Opportunity Employer/Veterans/Disabled
Military connected talent encouraged to apply
To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to
The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:
The California Fair Chance Act
Los Angeles City Fair Chance Ordinance
Los Angeles County Fair Chance Ordinance for Employers
San Francisco Fair Chance Ordinance
Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
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.
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.
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-ApplyAmbulance Billing Specialist- Full Time
Account representative job in Somerville, MA
Ambulance Billing Specialist -Full Time
We are seeking a highly organized and detail-oriented individual to join our team as a Billing Specialist. The successful candidate will be responsible for Billing Ambulance Claims. The ideal candidate will have strong communication skills, a customer service mindset, and the ability to work independently in a fast-paced environment.
Responsibilities:
Accurately assign appropriate codes to ambulance services based on documentation and coding guidelines.
Ensure timely and accurate submission of claims to insurance providers and other payers.
Review and correct any billing errors to minimize claim denials.
Review and monitor status on submitted claims to ensure the claims have been successfully received by the payors
Contact healthcare providers to obtain necessary documentation or clarification regarding claims
Update patient accounts and follow up with patients regarding outstanding balances or insurance coverage
Stay current with healthcare regulations and guidelines related to medical claims
Provide excellent customer service to patients, healthcare providers, and insurance companies
Perform additional assignments and special projects based on business need at the direction of the Manager
Qualifications:
High school diploma
Minimum of 2 years of experience in ambulance claims billing, medical claims processing or related field
Knowledge of medical terminology, CPT/HCPCS codes, and ICD-10 coding
Understanding of insurance coverages, fee schedules, and regulations
Proficiency in Microsoft Office and experience using healthcare billing software
Strong attention to detail and ability to multitask in a fast-paced environment
Excellent written and verbal communication skills
Ability to work independently and as part of a team
Customer service mindset and ability to handle sensitive or confidential information
Adaptability and a willingness to take on additional tasks and responsibilities as needed.
Knowledge of international payment and invoicing processes is a plus.
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-ApplyASAP Billing Specialist
Account representative job in Auburn, MA
Guardian 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.
Auto-ApplyMedical Billing Specialist
Account representative job in Norwood, MA
The Panther Group is hiring for a Medical Billing Specialist, or Insurance Recovery Analysts (IRA), with experience in General Liability Claims, Workman's Compensation & Motor Vehicle. The IRAs are responsible for processing commercial, governmental and/or third-party liability (workman's compensation, general liability, and motor vehicle liability) medical claims. This position ensures that ClaimAssist's clients (hospitals) recover the maximum allowable medical fees in the most timely, efficient, and confidential manner.
ESSENTIAL FUNCTIONS:
Investigates, negotiates, bills and follows-up for payment regarding first and third-party claims involving any and all coverages, liability, and legal issues.
Identifies viable payers, obtains IBs, UBs, HCFAs, correspondence, and medical records when necessary.
Maintains the highest level of privacy in accordance with HIPAA requirements and laws.
Works their inventory by route while maintaining an acceptable level of aged accounts receivable.
Contacts patients, payers, hospitals, attorneys, employers, and any other parties involved to collect the necessary information and ensure reimbursement for our client.
Recovers maximum dollars for the hospital through coordination of benefits in a timely manner.
Appeals claims when applicable.
Meets monthly company, team, and individual goals, and all deadlines set by the Team Lead and Manager, Operations.
Completes special projects, as requested.
QUALIFICATIONS:
Minimum of four (4) years of directly related industry experience.
Emdeon/ChangeHealthcare billing experience is a plus.
EPIC, CERNER and/or MEDITECH experience is a plus.
Experience working claims in multiple states is a plus.
Strong technical knowledge in one or more areas of commercial insurance, government insurance, workman's compensation, motor vehicle liability, general liability and claims processing systems.
Knowledge of medical and insurance terminology.
Knowledge of coordination of benefits.
Working knowledge of FACS (ClaimAssist's host system) or comparable management software system.
Ability to speak confidently over the phone
Basic knowledge of Microsoft Excel and Word.
Ability to provide quality customer service to all parties.
Ability to work in a fast-paced environment
Demonstrated knowledge of state laws and insurance statutes.
Excellent interpersonal and verbal/written communications skills.
Highly motivated, self-starter, organized and detail-oriented.
Ability to work well individually, as well as part of a team.
Coachable: receptive to feedback, willing to learn, embraces continuous improvement, and responsive to change.
EDUCATION REQUIREMENTS:
Bachelor's degree in business or related field preferred
High school or equivalent is required
Insurance Institute Certificate(s) highly desirable.
Pay Rate: $22.00-$24.00 (depending on experience) PLUS monthly Bonus
#INDPROF
Government 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
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**
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 Specialist (Med/BH)
Account representative job in Fitchburg, MA
The Billing Specialist is responsible for reviewing and editing claims, submitting claims for payment, correcting errors and resubmitting denied claims, contacting insurance payors and patients when necessary, and other duties related to Accounts Receivable as assigned.
Essential Duties & Responsibilities:
Ensuring that claims are submitted correctly, processed, and paid in a timely manner.
Analyses CHC's Accounts Receivable to find root causes of billing issues and formulates corrections.
Works Epic Work-Queues as assigned by the manager, investigating payment related claims issues, and preparing claims for submission to payors
Performing collections activity with patient and insurance payors. Contacting them as necessary to perform duties, including phone calls and emails
Maintain current working knowledge of all professional reimbursement issues.
Demonstrates understanding and commitment to the health center mission
Demonstrates understanding and commitment to the established CHC Values and Standards
Perform all other job-related duties that may be assigned
Minimum Qualifications:
Min. High School diploma or GED required
Experience in third-party billing and collections preferred. ICD10 and CPT coding, contract compliance, and information reporting requirements
The ability to work independently and with teams to solve problems
Previous experience working with EPIC preferred
Strong Healthcare Revenue Cycle operational workflow knowledge
Benefits:
401k
Generous vacation and personal time for eligible employees
Sick time
Medical, dental, and vision insurance
100% paid Life insurance/AD&D
100% paid Long-Term disability.
Discounts on travel and entertainment!
Discounts on cell phone service, computer purchases, and more!
College Tuition Rewards/CMEs
Company Events & Activities (Annual cookout and holiday party, health and wellness events,” Lunch & Learn's”, team building, and more!)
Employee Assistance Program (EAP)
EyeMed Vision Care Program
Accident & Cancer Insurance
Educational development reimbursement
Discounts on - gym membership, travel & entertainment tickets, electronics, and more!
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
Collections 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.
Collections Specialist
Account representative job in Manchester, NH
Key Responsibilities
Collecting delinquent accounts timely and within compliance standards.
Resolve Synapsys events and return payment notifications.
Maintain FDCPA requirements by processing certified and USPS outgoing mail.
Process Letter of Guarantee Requests and GAP claims.
Communicate with members to understand their financial situations and negotiate
Provides exceptional member service and maintain positive relationships with members.
Ensure compliance with company policies, state, and federal regulations.
Core Skill Competencies
Communication: Clear and effective communication skills, both written and verbal.
Attention to Detail: High level of accuracy in maintaining records and documenting interactions.
Time Management: Efficiently manage multiple accounts and prioritize tasks to meet deadlines.
Member Service: Demonstrated commitment to providing excellent member service and support.
Time Management: Ability to prioritize tasks and manage time effectively to meet deadlines.
Regulatory Knowledge: Understanding of relevant laws and regulations related to loan collections and financial services.
Physical Demands
Prolonged periods of sitting at a desk and working on a computer.
Occasional lifting of office supplies and materials weighing up to 20 pounds.
Ability to work in a fast-paced environment and handle high-stress situations.
Regular use of telephone and email for communication.
Qualifications
High School diploma with at least three years of collection experience in mortgage, mobile home, consumer loans and/or credit card collections.
Knowledge of a year of Fair Debt Collection regulations and Bankruptcy practices.
Customer Service
Account representative job in Lynn, MA
Adecco Staffing is working with a medical call center company in Boston, MA. We are looking for experienced Call Center Representatives on 1st & 2nd shift. This is a temp-to-perm opportunity. Pay Rate Range: $20 - $23 per hour Schedule(s)/Hours: 1st Shift: 7:00AM -6:00 PM. 5 Day work week, Saturdays are required
2nd shift: 2pm-11pm SATURDAYS ARE REQUIRED.
Position Title: Call Center Representative
Responsibilities Include:
· Serve as frontline operator for clients both during peak times and off-hours for various private medical offices and businesses.
· Take messages for non-urgent situations (i.e. appointments, prescription refills, doctor's notes) and page on call medical staff with urgent situations.
· Answer main line for several hospitals and medical practices and serve as first point of contact for their incoming calls.
· Responsible for efficiently and courteously handling calls and directing them to the appropriate department or individual.
· Answer emergency code calls and providing quick response to call ins.
Qualifications include:
· Prior call center experience required.
· Previous experience in medical call center preferred.
· Typing speed of 40 words per minute preferred.
· Clear & professional speaking voice.
· Ability to maintain customer service.
· High School diploma required.
*If you are interested, please apply directly to this job posting!*
Pay Details: $20.00 to $23.00 per hour
Benefit offerings available for our associates include medical, dental, vision, life insurance, short-term disability, additional voluntary benefits, EAP program, commuter benefits and a 401K plan. Our benefit offerings provide employees the flexibility to choose the type of coverage that meets their individual needs. In addition, our associates may be eligible for paid leave including Paid Sick Leave or any other paid leave required by Federal, State, or local law, as well as Holiday pay where applicable.
Equal Opportunity Employer/Veterans/Disabled
Military connected talent encouraged to apply
To read our Candidate Privacy Information Statement, which explains how we will use your information, please navigate to
The Company will consider qualified applicants with arrest and conviction records in accordance with federal, state, and local laws and/or security clearance requirements, including, as applicable:
The California Fair Chance Act
Los Angeles City Fair Chance Ordinance
Los Angeles County Fair Chance Ordinance for Employers
San Francisco Fair Chance Ordinance
Massachusetts Candidates Only: It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
ASAP 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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Patient 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-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-ApplyBilling 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 2-4 yrs of experience.
Billing Coordinator requires:
Keystrokes of 6000 with 90% accuracy.
Billing Coordinator duties:
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
$14/hr
12 MONTHS