Medical Billing Specialist - Liability Claims

The CCS Companies are hiring for a Medical Billing Specialist, or Insurance Recovery Analysts (IRA), with experience in General Liability Claims, Workman's Compensation & Motor Vehicle.

The IRAs are responsible for processing commercial, governmental and/or third-party liability (workman’s compensation, general liability, and motor vehicle liability) medical claims. This position ensures that ClaimAssist’s clients (hospitals) recover the maximum allowable medical fees in the most timely, efficient, and confidential manner.

This position is open to remote work once the person is trained onsite for 3 weeks, but you must live in the local area to our Norwood office.

Why Work for CCS?

• Monthly Bonus plan based on department production.
• $600 Welcome Bonus!
• Generous Paid Time Off Package of 3 weeks to start, PLUS you will receive an extra 1 week after 2 years for a total of 4 weeks PTO!
• No wait period on benefits for all new hires! You will be eligible on your first day! Blue Cross/Blue Shield Health and Dental Package, Vision and FSA options.
• Advancement Opportunities! Recognized in 2024 & 2025 by HR.com for Best Coaching and Mentoring Program!
• Competitive wage and recognition programs.
• 401k with employer contributions
• Excellent Employee Referral program – make an extra $1500 referring great people!
• Hybrid work opportunities!

ESSENTIAL FUNCTIONS:

• Investigates, negotiates, bills and follows-up for payment regarding first and third-party claims involving any and all coverages, liability, and legal issues.
• Identifies viable payers, obtains IBs, UBs, HCFAs, correspondence, and medical records when necessary.
• Maintains the highest level of privacy in accordance with HIPAA requirements and laws.
• Works their inventory by route while maintaining an acceptable level of aged accounts receivable.
• Contacts patients, payers, hospitals, attorneys, employers, and any other parties involved to collect the necessary information and ensure reimbursement for our client.
• Recovers maximum dollars for the hospital through coordination of benefits in a timely manner.
• Appeals claims when applicable.
• Meets monthly company, team, and individual goals, and all deadlines set by the Team Lead and Manager, Operations.
• Completes special projects, as requested.

QUALIFICATIONS:

• Minimum of four (4) years of directly related industry experience.
• Emdeon/ChangeHealthcare billing experience is a plus.
• EPIC, CERNER and/or MEDITECH experience is a plus.
• Experience working claims in multiple states is a plus.
• Strong technical knowledge in one or more areas of commercial insurance, government insurance, workman’s compensation, motor vehicle liability, general liability and claims processing systems.
• Knowledge of medical and insurance terminology.
• Knowledge of coordination of benefits.
• Working knowledge of FACS (ClaimAssist’s host system) or comparable management software system.
• Ability to speak confidently over the phone
• Basic knowledge of Microsoft Excel and Word.
• Ability to provide quality customer service to all parties.
• Ability to work in a fast-paced environment
• Demonstrated knowledge of state laws and insurance statutes.
• Excellent interpersonal and verbal/written communications skills.
• Highly motivated, self-starter, organized and detail-oriented.
• Ability to work well individually, as well as part of a team.
• Coachable: receptive to feedback, willing to learn, embraces continuous improvement, and responsive to change.

EDUCATION REQUIREMENTS:

• Bachelor’s degree in business or related field.
• Insurance Institute Certificate(s) highly desirable.

The CCS Companies is an Equal Opportunity Employer - Diversity and Veteran Candidates are strongly urged to apply.

Job Type: Full-time

Pay: $22.00 - $24.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Tuition reimbursement
• Vision insurance

Application Question(s):

• How many years of Workman's Compensation or Motor Vehicle claims processing do you have?

Education:

• High school or equivalent (Required)

Work Location: In person

Salary : $22 - $24