Description:
The Medical Billing Specialist is responsible for accurate claims submission accounts receivable followup payment posting EOB and COB processing credit balance refunds bad debt and collections. Takes initiative to research problems and determine correct action steps to resolve eligibility billing and account problems and working in collaboration with an outside billing company. This may involve accessing the clinical computer system where source information resides; contacting departmental/practice representatives to obtain additional information researching source charge entry/clinical report documents to verify information etc. Responsible for the posting of billing information from the clinical management system to the billing system. Assist in the preparation of reports and analyses providing feedback and recommendations to management relating to findings.
Required: High School graduate or equivalent. At least five years medical billing experience. Must have a working knowledge of CPT and ICD10 codes data entry systems for 3rd party billing various types of payers and their reimbursement and denial patterns. Prior experience with Blue Cross/Blue Shield Medicare Medicare advantage plans MVA and/or Worker s Compensation preferred. Thorough understanding of medical terminology. Knowledge of computers including Microsoft Word and intermediate level Excel skills. Basic knowledge of business math.
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Additional Details
- Preferred Pay Rate Range : 2028
- ReportTo Detail : 100% on Campus
- Tenure Limit : 3 Months
- FLSA Exemption Status : NonExempt/OT Eligible
- Required Education : High School Graduate
- Required occupational training certifications or license(s) : Worker must provide a Letter of Good Health signed by a physician and an immunization record that shows compliance with HUHS Immunization Policy to HUHS HR on first day of assignment.
- Business Title : (No Value)
- Additional Job Details : (No Value)
- Does this position require a HUID : Yes
- Is the worker converting from being a Harvard fulltime employee (FTE) : No
- Preidentified candidates information including name email phone state/city/zip & pay rate : (No Value)
- Role requires identity I9 and 3 reference screen (recruited) : Yes
- Role requires identity I9 screen (payrolled) : No
- Role requires DMV/driving history screen : No
- Role requires criminal background and sexual offender screening CORI/SORI : Yes
- Role requires criminal background screen : No
- Role requires 10panel drug screen : No
- Role requires credit record check : No
- Role requires compliance with Immunization policy. : Yes