MG Biller

SUMMARY: 0 Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate RESPONSIBILITIES: KEY RESPONSIBILITIES: Maintain third party billing records, research and analyze delinquent third-party payer claims, resolution of problems such as reimbursement and then adjust and resubmit claims. Follow up on submitted claims and patient billing. Research and analyze delinquent third-party payer claims such as Medicare, Medicaid, and Commercial and Non-commercial carriers; verify patient eligibility, adjust and submit claims as necessary. Respond to inquiries from patient/third-party payers; explain insurance coverage to patients, research problems, and correct errors by utilizing accurate ICD 9 and CPT codes. Maintain and update patient demographic information for proper billing to Insurance carriers as necessary. Follow up on submitted claims, monitor unpaid claim reports; initiate tracers; resubmit claims as necessary. Respond to all inquiries from third-party payers in a timely manner. Respond to inquiries from individual insurance carriers (Commercial and Non-commercial) as well as patient calls with specific insurance questions. Post and initiate corrective action for all rejections from checks as well as correspondence from different insurance carriers. MINIMUM QUALIFICATIONS: REQUIRED QUALIFICATIONS: Knowledge in third-party medical billing with 2 years' experience in specialty services preferred. Solid working knowledge of third-party billing, ICD 10 and CPT codes Excellent interpersonal and communication skills, high level of organizational skills; self-motivated; strong problem solving skills; the ability to exercise independent judgment based upon established policies, protocols, or practices EDUCATION: High School diploma required.

Pay Range:

$19.58-$32.31

EEO Statement:

Brown University Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, ethnicity, sexual orientation, ancestry, genetics, gender identity or expression, disability, protected veteran, or marital status. Brown University Health is a VEVRAA Federal Contractor.

Location:

Hawthorn Medical Associates-NDartmouth-535 Faunce Corner Rd - 535 Faunce Corner Road North Dartmouth, Massachusetts 02747

Work Type:

8:00-4:30

Work Shift:

Day

Daily Hours:

8 hours

Driving Required:

Yes