Customer Service Representative
Account representative job in Newton, 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.
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-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-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-ApplyPatient Account Representative - EHS Customer Service - Full Time
Account representative job in Manchester, NH
Who We Are:
Here at SolutionHealth, we take great pride in serving our community, patients, and families. If you meet the requirements below, and are ready for a great new adventure, consider applying!
About the Job:
The Patient Accounts Customer Service Representative is responsible for various aspects of the revenue cycle. This position primarily supports the Central Billing Office for Elliot Health System. The Patient Accounts Customer Service Representative promotes revenue integrity by ensuring timely and accurate resolution to patient account questions.
What You'll Do:
Receives and follows up on all billing telephone or email inquiries and accurately documents exchanges in the electronic patient accounting system using Elliot Health System standards
Understands, reviews, and articulates the Elliot Health System's Accounts Receivable billing processes, insurance payment schemes, financial protocols and collection of patient financial responsibility amounts
Provides assistance to all Elliot Health System departments when billing questions arise
Works collaboratively with Early Out and Bad Debt vendors
And more.
Who You Are:
High school diploma or GED, Required
Epic Experience, Preferred
Why You'll Love Us:
Health, dental, prescription, and vision coverage for full-time & part-time employees
Short term, long term disability, Accident insurance, & life insurance
Tuition Reimbursement
Referral bonuses
Accrued earned time for full-time & part-time employees
403b Retirement plans, with generous employer contributions
And more!
Work Shift:
M-F - 8am-4:30pm - Hybrid
SolutionHealth is an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, disability status, veteran status, or any other characteristic protected by law.
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
Client Billing Specialist
Account representative job in Boston, MA
Our client is a leading litigation firm in the Northeast, known for delivering exceptional client service and fostering a collaborative, inclusive workplace. They are looking to add a Client Billing Specialist to their team. Salary/Hourly Rate: $60k - $70k
Position Overview:
The Client Billing Specialist plays a key role in supporting the firm's financial operations and maintaining strong relationships with both attorneys and clients. In this position, you will manage the full monthly proforma billing cycle, including selecting, reviewing, and editing proformas to ensure accuracy and alignment with client billing guidelines. You will finalize and submit invoices through electronic billing platforms, research and resolve billing inquiries, and proactively follow up on outstanding accounts receivable. Serving as the primary point of contact for billing matters, you will rely on strong communication skills, exceptional attention to detail, and sound judgment to deliver efficient, compliant, and client-centered billing support. This role offers a blend of collaboration, problem-solving, and independent work, contributing directly to the success of the Finance team and the firm as a whole.
Responsibilities of the Client Billing Specialist:
* Manage the full monthly proforma billing cycle, including selecting, reviewing, and editing proformas.
* Ensure all billing activity complies with client-specific guidelines and firm policies.
* Finalize, format, and submit invoices through electronic billing (e-billing) platforms.
* Serve as the primary point of contact for attorney and client billing inquiries.
* Research and resolve billing questions or discrepancies promptly and professionally.
* Monitor outstanding accounts receivable and follow up to support timely collections.
* Build and maintain strong working relationships with attorneys, clients, and finance colleagues.
* Collaborate with internal teams to support accurate, efficient, and compliant billing processes.
* Balance independent work with team-based problem-solving and daily collaboration.
Required Experience/Skills for the Client Billing Specialist:
* Billing experience: Minimum of 2 years of billing experience, preferably in a law firm environment.
* Initiative and time management: Proven ability to work independently, manage time effectively, and meet deadlines.
* Electronic billing systems: Experience with electronic invoice submission platforms.
* Understanding of client requirements: Familiarity with client billing guidelines and billing software.
Preferred Experience/Skills for the Client Billing Specialist:
* Accounts receivable experience or Bank Teller experience.
* Billing and invoicing.
* Collections experience.
* Solid communication skills.
* Knowledge of Elite 3E is preferred.
Education Requirements:
* High school diploma or equivalent is required.
Benefits:
* Medical, dental, vision.
* 401(K).
* Life Insurance.
* Health savings account.
* Flexible spending account.
* Competitive salary.
* Paid time off.
* Employee discounts.
* A hybrid work environment is also provided after an introductory period.
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-ApplyBilling Specialist II
Account representative job in Marlborough, MA
The Billing Specialist II at Doble Engineering will be responsible for executing billing and administrative functions within the Billing team, with a focus on invoicing for Oil Lab services and supporting product and service sales. This role plays a key part in ensuring accurate and timely billing, maintaining documentation for audits, and facilitating customer payments. The role is based in our Marlborough, MA office reporting to Manager of Billing & Collections.
ESSENTIAL JOB FUNCTIONS
* Generate and process invoices related to Oil Lab services
* Maintain and update billing lists, reports, and documentation to support billing operations
* Assist with internal and external audit requests by gathering and organizing required documentation
* Process credit card payments for invoices with credit card terms
* Communicate with customers and internal stakeholders-via inbound and outbound calls-to obtain payment information and resolve billing or credit card-related issues.
QUALIFICATIONS
EDUCATION:
Minimum of an associate degree in accounting, business administration, or a related field
REQUIRED EXPERIENCE:
* 2+ years of experience in billing, accounts receivable, or a related administrative role
* Energetic, dynamic team player who collaborates effectively across Billing and Finance teams
* Strong attention to detail with exceptional organizational skills
* Excellent communication and customer service abilities
* Proficient in Microsoft Office Suite (Excel, Outlook, Word)
* Experience with ERP or billing systems; familiarity with Dynamics 365 Business Central is a plus
* Comfortable managing high-volume billing cycles and tight deadlines
* Skilled in using billing automation tools and reporting dashboards
PREFERRED EXPERIENCE (Not Required):
* Prior experience working in a shared services or centralized billing environment
* Hands-on experience with Dynamics 365 Business Central or similar ERP systems
* Experience handling credit card transactions and payment reconciliation
* Exposure to audit preparation and documentation support
* Experience collaborating with sales teams and customer service departments to resolve billing discrepancies
KNOWLEDGE, SKILLS & ABILITIES:
* Proficient in Microsoft Office Suite (Excel, Outlook, Word)
* Ability to handle inbound and outbound customer calls professionally
* Experience using ERP or billing systems
* Strong written and verbal communication
PHYSICAL REQUIREMENTS:
While performing the duties of this job the employee is often required to stand, sit, use computers, read, write, type, use copy machines, file paperwork, use telephones, and utilize written and oral communication to interact with clients, co-workers, and customers. Reasonable accommodations may be made to enable individuals to perform the essential functions of this job. Must be capable of lifting 30 pounds. Must use assistance when lifting 50 or more pounds.
Actual base salary offered to the hired applicant will be determined based on their work location, level, qualifications, job related skills, as well as relevant education or training experience.
Hourly Pay Range Minimum $26.89 - Midpoint $33.62
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
We are an Equal Employment Opportunity employer that values the strength diversity brings to the workplace. All qualified applicants, regardless of race, color, religion, gender, sexual orientation, marital status, gender identity or expression, national origin, genetics, age, disability status, protected veteran status, or any other characteristic protected by applicable law, are strongly encouraged to apply.
The Americans with Disabilities Act of 1990 (ADA) prohibits discrimination by employers, in compensation and employment opportunities, against qualified individuals with disabilities who, with or without reasonable accommodation, can perform the "essential functions" of a job. A function may be essential for any of several reasons, including: the job exists to perform that function, the employee holding the job was hired for his/her expertise in performing the function, or only a limited number of employees are available to perform that function.
Applicants must be authorized to work for any employer in the United Sates. Doble Engineering is unable to sponsor or take over sponsorship of an employment visa at this time.
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
DME Medical Billing Specialist
Account representative job in Needham, MA
About the Role:
XRHealth is seeking an experienced and detail-oriented DME Medical Billing Specialist to join our team on-site at our Needham, MA office. In this role, you will manage all aspects of billing and reimbursement for our Durable Medical Equipment (DME) operations. You will be responsible for ensuring accurate and timely claim submissions, payment posting, and resolution of denials, while maintaining compliance with all payer and regulatory requirements. Hands-on experience with the NikoHealth system is highly preferred.
** This role is 100% in-office at our Needham, MA location. Applicants must currently reside within commuting distance. Relocation is not offered.
Key Responsibilities:
Prepare, review, and submit clean claims to insurance companies through NikoHealth and other billing systems.
Verify patient insurance coverage and eligibility for DME services.
Process payments, adjustments, and denials accurately and efficiently.
Investigate and resolve claim rejections or underpayments in a timely manner.
Maintain accurate billing records and ensure compliance with HIPAA and payer regulations.
Communicate effectively with patients, insurance representatives, and internal departments.
Generate reports on billing performance, aging claims, and reimbursement trends.
Stay up to date on current DME billing codes, payer guidelines, and industry regulations.
Qualifications:
Minimum of 2 years of DME billing experience required.
Proficiency with NikoHealth or similar DME billing software required.
Strong knowledge of CPT/HCPCS codes, EOBs, and payer-specific requirements.
Excellent attention to detail, accuracy, and problem-solving skills.
Effective communication and organizational abilities.
Ability to work independently and collaboratively in a fast-paced environment.
Auto-ApplyBilling Specialist
Account representative job in Boston, MA
We have been in practice for over 75 years with nearly 200 attorneys and have been recognize as one of the top litigation firm in the region. We specialize in commercial and business litigation; product liability and tort litigation; construction; environmental; hospitals and health systems; employment and labor; professional liability; risk management; insurance and reinsurance.
Why us...
Excellent health benefits + life insurance + 401K match
Corporate discounts
FSA and HSA Plan
Group Life and Long-term Disability Insurance.
Employee Assistance Program.
Tons of career advancement
Full-Time Billing Specialist (Hybrid Opportunity)
Responsibilities:
Create and send invoices
Oversee and manage e-billing cycle
Track payments
Resolve billing issues
Work closely with the sales team
Stay up-to-date on the latest billing regulations
Qualifications:
Bachelor's degree in Finance/Accounting, Business or a related field
2+years of experience in a billing and invoicing, preferably in a law firm environment with Elite 3E experience but not required!
Excellent communication and interpersonal skills with internal team and clients
If you are interested in this position, you apply directly or please send us your resume and cover letter to **********************. We will review all applications and contact the most qualified candidates for an interview.
Easy ApplyBilling 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 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-ApplyHospital Billing Specialist
Account representative job in Worcester, MA
Job Details Hospital for Behavioral Medicine - Worcester, MA Full Time High School/GED $24.00 - $27.00 Hourly None Days FinanceDescription
JOIN OUR TEAM AS A HOSPITAL BILLING SPECIALIST!
Status: Full-Time (On-site only - no remote)
Bonus Opportunity: MONTHLY INCENTIVE ELGIBLE
Your Work Matters
How will you make a difference?
The Hospital Billing Specialist supports our mission by ensuring timely and accurate billing and follow-up of all claims, helping us maintain the financial health necessary to serve patients with excellence and compassion. This role is essential to the overall success of our Business Office team. The Hospital Billing Specialist ensures claims are processed, corrected, and reimbursed in accordance with payer-specific rules, contributing directly to the hospital's ability to serve its patients with excellence.
This role may focus on either government or commercial payers and is part of a cross-trained billing team working collaboratively to reduce outstanding A/R and support timely claim resolution.
Primary Responsibilities
Submit claims through third-party intermediaries for all payer types (government and commercial)
Resolve payer and clearinghouse edits and rejections to ensure accurate claim submission
Apply knowledge of ICD-10 coding, claim formatting, and payer-specific requirements
Ensure compliance with CMS, Medicare, Medicaid, and commercial payer billing guidelines
Review and correct claim errors using system-generated reports and payer feedback
Perform follow-up activities on outstanding accounts, including appeals and documentation requests
Identify and resolve underpayments or denials by coordinating with payers
Track trends in recurring denials or rejections and report findings to leadership
Maintain accurate account notes and documentation within the billing system
Collaborate with internal departments such as credentialing, coding, or compliance when needed to resolve complex billing issues
Support month-end close processes by prioritizing high-dollar or time-sensitive claims
Maintain up-to-date knowledge of industry regulations, payer rules, and internal policies
Your Experience Matters
What we're looking for:
Education & Licensure (if applicable):
High school graduate or equivalent preferred.
Experience:
A minimum of one (1) years' experience in facility billing experience with knowledge of Medicare DDE and computerized systems strongly preferred, or related field, or any combination of education, training, or experience in a health care business office environment. Experience with insurance billing, computer and business software programs (Excel) preferred.
Additional Skill Requirements:
Knowledge of Microsoft Office including word, excel, and outlook. Excel-lent communication skills and a professional demeanor is needed. Detail oriented and possessing strong time management skills is necessary in order to manage multiple priorities in a fast-paced environment. May be required to work occasional overtime and flexible hours.
Your Care Matters
What we provide for our team:
401(k) + matching
Health insurance
100% company-paid life insurance coverage up to 2x your annual salary
Vision insurance
Dental insurance
100% company-paid long term disability insurance
Paid time off
Paid holidays
Cafeteria on site + discounted meals
Employee engagement events
Employee assistance program
Employee recognition program
Free parking
What sets us apart?
Career & training development opportunities
Dynamic and inclusive work environment
Engaged management team dedicated to your success
A guiding mission and set of values that serve as both our north star and yours, anchoring our collective purpose and aspirations
Disclaimer: Select benefits are available to full-time positions only. Benefits are subject to change at the discretion of Hospital for Behavioral Medicine.
Compensation:
This is a full-time role and the expected compensation range is $24.00 - $27.00 hourly and a monthly incentive bonus plan! We're eager to engage with all qualified candidates, and consideration will be provided to experience and skill level. Join us as our Hospital Billing Specialist!
About HBM
Get to know us
Outstanding Care, Compassionate People, Unparalleled Service
Discover a fulfilling career at Hospital for Behavioral Medicine (HBM)!
Welcome to the heart of mental health treatment innovation in Worcester, MA! HBM, a cutting-edge 120-bed inpatient facility, is the leading provider of exceptional therapeutic care, prioritizing patient comfort and safety. In proud collaboration with UMass Memorial Health Care, our facility is conveniently situated near the UMass Memorial Medical Center, allowing us to serve the community with unwavering dedication.
At HBM, we go beyond inpatient care by offering an outpatient partial hospitalization program, ensuring continuous support while respecting the rhythm of daily lives. Our commitment to accessible care knows no bounds, as we emphasize availability irrespective of one's ability to pay.
Join us in providing exceptional care and contributing to the well-being of individuals and families in need, and be a part of the transformative healthcare experience at Hospital for Behavioral Medicine.
To learn more about HBM, visit us at: **********************************************
TOGETHER WE CAN MAKE POSITIVE I.M.P.A.C.T.S.
Individuals Maintaining Positive Attitude and Commitment To Service
At Hospital for Behavioral Medicine, we value a diverse, inclusive workforce and provide equal employment opportunities for all applicants and employees. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, gender identity or expression, age, marital status, veteran status, disability status, pregnancy, parental status, genetic information, political affiliation, or any other status protected by the laws or regulations in the locations where we operate. Accommodations are available for applicants with disabilities.
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.
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**
Collections 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.
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