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Billing Specialist

Location: Fall River
Posted on: June 23, 2022

Job Description:

Job DetailsJob LocationBilling - Fall River, MAPosition TypeFull TimeSalary Range$15.00 - $17.00 Job ShiftDayJob CategoryAdmin - ClericalEssential Functions:Verify eligibility and benefitsUnderstand Medicare and Medicaid ratesKnowledge of EOBs and contractual allowable amountsKnowledge of Medicaid and Medicare coveragesKnowledge of Rhode Island and Massachusetts insurance eligibility and benefitsAssist with answering billing callsKnowledge of NGS Connex, Claim Shuttle, and Medicaid websitesGeneral customer service skillsScanning and attaching documentsAppeals process, rules, and regulations for each insuranceKnowledge Timely Filing limits for each insuranceAuthorizationsElectronic Claims SubmissionsHospiceSkillsMedical Billing experienceAccountingICD9/ICD10/HCPC/ModifiersCustomer serviceKeyboarding RI and MA InsuranceCollectionsAbility to work efficiently with few errorsAwareness of timely filing deadlinesTeam playerBilingual a plusCPC certified a plusMust be an independent worker.Must have excellent phone skills including using appropriate collection tactics.Must be familiar with computer software including MS Word, excel, internet explorer, and windows.Must have excellent organization skills and time managementMust have a general understanding of ambulance billing.Experience:Previous experience in medical billing is a must. Candidate must have knowledge of EOBs, EFT payments, claim submissions, denials, ANSI codes, and appealing process. You may also be expected to work on data entry, or other payors if the need arises. Denied claims must be monitored and appealed as necessary. You are responsible to monitor your workflow and keep it up-to-date. You will report directly to the Billing Manager.

Keywords: ALERT AMBULANCE SERVICE INC, Fall River , Billing Specialist, Accounting, Auditing , Fall River, Massachusetts

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