Billing/Collections Representative

Marstons Mills, MA 02648

Post Date: 03/01/2018 Industry: Healthcare Services Pay Rate: 17.00

Our client, a well known wellness center/hospital is seeking a Billing/Collections Representative to join their busy team!

The Billing/Collections Representative  is responsible for billing and collection of accounts from health insurance plans, contracted agencies and patients. Continually reviews, monitors and resolves outstanding claims and accounts receivable for assigned payers/funding sources. Reviews and takes action to resolve payer claim denials within 1-3 business days of receipt.  Communicate payment delay and denial issues to the Patient Account Supervisor in a timely and effective manner.  Achieves and maintains thorough knowledge of revenue cycle procedures and systems, as well as, payer policies and procedures including but not limited to; eligibility verification, authorization management, claim requirements, interpretation of remittance/explanation of benefits for denials and partial payments, claim resubmission, correction and appeals. Assists patients and their representatives with billing inquiries and seeks payment of outstanding patient balances.   

A minimum of one year health care revenue cycle experience, or three years proven business finance experience preferred.

Strong billing and collection experience with knowledge of health insurance plans, policies and coverage preferably in the behavioral health sector preferred.

Must be proficient with using and learning financial and business systems, conducting transaction processing, problem research and resolution.

Requires excellent organizational, customer service skills with effective verbal and written communication skills. At least one year of customer service and call center experience preferable. 

Ability to work independently and as a team member for successful outcomes. 

This position is a great opportunity for an individual who is interested in continuing or beginning to apply their energy and experience in a fast paced and growing business office environment with an organization that is committed to improving the mental health and well-being of our patients and their families. 




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