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Billing Specialist

Company: coronis health
Location: Pawtucket
Posted on: November 18, 2021

Job Description:

Job Title: Specialist, Billing Department: RCM Supervisor: Director of RCM FLSA Classification: Non-Exempt The Billing Specialist is ultimately responsible for the oversight of standard Billing processes within the Revenue Cycle. These major billing functions include but are not limited to monitoring the timely receipt of supporting billing documents (Charges and Payments), processing of the functions within standard guidelines as well as addressing any outliers or errors in a timely manner. The Representative will also participate in development and improvement of processes including rule creation and interaction and work direction of the Operations teams. The Representative is responsible for alerting the appropriate resources of any significant outliers or issues. Essential Duties & Responsibilities: Charges * Monitoring Charge log on a daily basis to verify timely receipt of charges from clients as well as timely processing of charges by Operations team. * Monitoring results daily as compared to targets; alerting or taking appropriate actions when inconsistencies are identified. * Completing client specific charge processing tasks on a daily basis such as importing review process, EMR corrections and any other client specific tasks. * Completing exceptions daily including internal resolution as well as client resolution (i.e. Returned Items) within standard timelines. * Confirming processes completed for month end. * Participating in quality review including standard and ad hoc auditing of charges. * Participating in the creation and maintenance of charge rules. Payments * Processing deposits for select client for bank deposit according to standard timelines. * Monitoring deposit log daily to verify timely receipt of payments from clients as well as timely processing of payments by Operations team. * Monitoring results daily compared to targets; alerting or taking appropriate actions when inconsistencies are identified. * Completing client specific tasks including credit card processing. * Completing exceptions daily including internal resolution as well as client resolution (i.e. Returned Items) within standard timelines. * Confirming processes completed for month end. * Processing of credit balances and refunds. * Processing of unapplied, unassigned/unposted payments. * Participating in quality review including standard and ad hoc auditing of charges. * Participating in the creation and maintenance of charge rules. * Processing credit card payments. * Reconciling deposit log on a weekly basis. Other * Participating in phone coverage. * Processing attorney requests and bankruptcy notices. * Processing returned patient statements. * Overseeing statement processing. * Processing paper claims. * Responsible for higher claims and payments task volume. Supervisory Responsibilities: * Billing Specialists receive general supervision - routine duties are performed with minimal supervision; standard practices or procedures allow BSR's to proceed alone at routine work; occasional check of work while in progress; work is reviewed upon completion. * Billing Specialists are supervised by and report to the Director of RCM. Other Duties and Responsibilities: * Complying with HIPAA policies, PMG Policies and federal/state laws. * Participating in proactive team efforts to achieve departmental and company goals. * Regular office attendance required. * Performing other duties as assigned. Summary of Qualifications: Education and Experience: Associate's degree (AA) or equivalent from a two-year college or technical school and 2+ years' experience in healthcare required; particular attention paid to applicants with charge entry or payment posting experience. May be substituted with equivalent combination of education and experience. Medical Billing (and/or Coding) Certificate strongly preferred. Specialized Knowledge/Skills: * Proficient communicator, both verbally, interpersonally and written. * Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, diagram or schedule form. * Strong organizational skills and attention to detail. * Skilled to prioritize, organize and delegate assignments; handle multiple, simultaneous, competing projects; capable of dealing with frequent interruptions. * Ability to perform intermediate math. * Capable of dealing with frequent interruptions. * Strong knowledgeable of keyboarding and Windows Office products (e.g. Word, Excel, Outlook, etc.), as well as prior experience with Medical Billing software, such as EPIC/Resolute * Bilingual -English/Spanish - a plus. Physical Requirements: Necessitates fine motor skills; occasionally requiring pushing, pulling, lifting and carrying up to 15 lbs. Must be able to use a computer, including keyboard and telephone, during peak activity periods, in excess of 8 hours per day and/or 40 hours per week. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job functions.

Keywords: coronis health, Pawtucket , Billing Specialist, Accounting, Auditing , Pawtucket, Rhode Island

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