Job Information
LogixHealth Senior Billing Specialist, Specialty Billing in Bedford, Massachusetts
Are you interested in joining a team that strives to positively impact the healthcare system?
LogixHealth provides services and technology that result in smarter healthcare. We need the best and most inspired team members and are looking for people with a high level of intellectual curiosity and drive who always ask "why" and "how can we do it smarter."
If we have piqued your interest and you also possess:
The ability to multitask
A strong attention to detail and active listening skills
Proficient computer and Microsoft Excel skills
We want to meet YOU!
Purpose
Process all denied and unpaid claims submitted to insurance carriers to ensure payments are received and provide oversight to internal team leads and billing specialists doing similar work.
Duties and Responsibilities
Review all denials on an explanation of benefits (EOB) and work on issues/errors until resolved
Review A/R reports to follow up on any unpaid claims
Submit required appeals when needed
Submit any required documentation to insurance companies as requested
Review claims for accuracy to ensure it is processed in a timely manner
Communicate with insurance companies, adjustors and attorneys on a regular basis
Correct any errors and resubmit all unprocessed or returned claims to insurance companies
Enter new information into billing software to create HCFA bills
Assist the Billing staff in resolving issues and answering their questions
Forward issues to appropriate Account Manager & Billing Manager when necessary
Process write off requests according to the set guidelines
Assist the team lead staff in any backlog of work or issues
Adhere to the Code of Conduct and be familiar with all compliance policies and procedures stored in Logix Garden relevant to this position
Qualifications
To perform this job successfully, an individual must be able to perform each duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities perform the duties.
Education (Degrees, Certificates, Licenses, Etc.)
High School Diploma or equivalent combination of education and experience required. Computer Skills
Experience
One to two years related billing experience preferred; Previous Billing Specialist experience highly desired. Prior word processing, spreadsheet and internet software experience including proficiency with MS Excel and MS Word required.
Specific Job Knowledge, Skill and Ability
Ability to add, to subtract, multiply and divide in all units of measure
Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedural manuals
Ability to write routine reports and correspondence
Ability to communicate effectively verbally and in writing
Ability to speak effectively before groups of customer or fellow employees
Ability to apply common sense understanding to carry out instructions
Specific vision abilities required by this job include close vision
Ability to sit for prolonged periods of time, use hands, talk, hear and occasionally walk and reach with hands or arms
Powered by JazzHR