#18157991
12/12/2022
Springfield
MA
Hour
Billing and Posting Clerks

Description

Medical Biller, Springfield

General Information

Job Title: Medical Biller
Location: 995 Worthington Street
Springfield, MA, 01109
United States
Employee Type: FT
Job Category: Medical Biller
Industry: Non-Profit

Contact Information

Name:
Jennifer Rivera
Phone:
413-233-5397
Email:
jerivera@mhainc.org

Description

MHA is hiring immediately for a Medical Biller. Under the direction of the Billing Manager, the Medical Biller is responsible for the timely submission of claims to insurance companies for Outpatient Behavioral Health Clinic services as well as our residential recovery service programs. This position will work collaboratively with Billing Team, Billing Manager and all clinic staff and with system-wide administration. Requires ability to appeal denied claims, record payments, and communicate effectively with providers, patients and insurance companies.

Medical Biller Essential Position Functions

Prepare and submit accurate and complete billing claims and invoices
Follow up on insurance denials and rejections in a timely manner
Accurately resolve and resubmit denied claims, and secondary insurance claims
Investigate unpaid claims and submit appeals as needed
Review patient statements before mailing
Follow up on unpaid patient balances by establishing payment arrangements, and monitoring and pursuing delinquent accounts.
Perform other duties as assigned by supervisor.

Qualifications

At least 2 years of medical/behavioral health billing experience preferable.
Experience working Insurance claim denials
Experience with AR Management
Ability to research Insurance Websites for the documented regulations on current original claims submissions, correct denial resolutions as well as how to correct claims properly
Ability to communicate to the Billing Team and Supervisor problems and/or issues that need additional interventions
Candidate must have strong financial background with knowledge of ICD-10 and CPT coding
Strong attention to detail and accuracy
Ability to interact openly and professionally with clients, billing team, Supervisor.
Solid verbal and written communication skills.
Special Knowledge, Skills and Abilities
Proficiency with electronic medical records (EMR)
Ability to effectively work claims and claim denials to ensure maximum reimbursement for services rendered.
Ability to read and interpret insurance Explanation of Benefits.
Ability to utilize monthly aging account receivables report to follow up on unpaid claims aged over 30 days.
Respond to inquiries from payors, and patients in a timely fashion.
Skilled in computer keyboarding, insurance carrier websites, and use spreadsheet applications
Knowledge of medical office management functions and procedures.
Knowledge of diagnostic and procedure coding, medical record documentation practices, medical, computerized medical office systems applications, customer relations principles, and generally accepted safety practices.
Ability to work collaboratively with clinic care providers
Ability to establish and maintain harmonious and cooperative working relationships with others and demonstrate empathetic, respectful, and positive customer relations behaviors.
Ability to manage multiple priorities simultaneously and maintain composure in stressful situations.
Ability to envision desired outcomes and applies systematic actions to achieve expected results.
Ability to work independently, exercise good judgment and accept personal responsibility.

How to Apply

To apply for this position:
Please visit our website at www.mhainc.org to submit your online application and to see the complete job description.