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Medical Billing Specialist

Wellness Medical Center Boston, MA
  • Posted: over a month ago
  • $15 to $17 Hourly
  • Full-Time
  • Benefits: Medical

Busy outpatient physical therapy clinic is looking for a Medical Biller responsible for the timely submissions of medical claims to insurance companies.

Attention to detail and experience with the electronic and paper systems used in medical billing is a MUST.

Duties include:
• Obtaining referrals and pre-authorizations as required for procedures.
• Checking eligibility and benefits verification for treatments.
• Reviewing patient bills for accuracy and completeness, and obtaining any missing information.
• Preparing, reviewing, and transmitting claims using billing software, including electronic and paper claim processing.
• Following up on unpaid claims within standard billing cycle timeframe.
• Checking each insurance payment for accuracy and compliance
• Calling insurance companies regarding any discrepancy in payments if necessary
• Researching and appealing denied claims.
• Setting up patient payment plans and work collection accounts

Experience Required :
1 year

Proficiency in the following areas is preferred:
• Knowledge of insurance guidelines including HMO/PPO, and other payer requirements and systems.
• Competent use of computer systems, software, and 10 key calculators.
• Familiarity with CPT and ICD-10 Coding.
• Effective communication abilities for phone contacts with insurance payers to resolve issues.
• .Ability to work well in a team environment.
• Problem-solving skills to research and resolve discrepancies, denials, appeals, collections. A calm manner and patience working with either patients or insurers during this process.
• Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
• Ability to multitask.

Wellness Medical Center

Why Work Here?

We are Improving Wellness in Boston since 2001!

Wellness Medical Center is an outpatient physical therapy and rehabilitation clinic based in Boston. We treat patients experiencing pain and debilitating injuries arising from motor vehicle accidents, work accidents, playing sports, or other conditions.

Address

1458 Dorchester Ave, Boston, MA 02122
Boston, MA
USA

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