Medical Billing Specialist

Northern Berkshire Pediatrics • North Adams, MA • 3h ago

Northern Berkshire Pediatrics is seeking an experienced Medical Billing
Specialist to become an integral member of our small but mighty Billing
Team, where every member plays an important role in ensuring accurate
billing, timely reimbursement, and exceptional service to our patients
and families. The ideal candidate will have a thorough understanding of
medical billing processes, insurance requirements, reimbursement
practices to support the continued delivery of high-quality pediatric
care; also be able to work independently and collaboratively as part of
the Billing Team. Responsibilities include maintaining patient billing
accounts; managing incoming and outgoing payments from patients and
insurers; communicating with patients regarding outstanding balances;
billing insurance and processing payments; documenting each step in the
billing process; maintaining patient information in our billing software
database and EMR; investigating system errors; and pursuing denied
claims to ensure timely reimbursement. Summary of Job Duties: - Verify
patient information ensuring complete and accurate registration, and
current insurance and eligibility - Maintain the accuracy of all
Behavioral Health Account registrations - Create and submit claims to
insurance companies, ensuring accuracy and completeness - Follow up on
unpaid claims, initiate appeals, and resolve denial instances -
Communicate with insurance companies for updates on claim status or to
clarify billing details - Print weekly statements for collection
accounts, follow up on patients\' outstanding balances, and make
collection calls as necessary - Navigate and maintain accurate, timely
and complete documentation in the EMR and billing software - Answer
patient inquiries about bills, set up payment plans, and process and
post payments to patient accounts - Assist the Lead Biller with auditing
monthly insurance reports - Communicate and collaborate with providers
and the clinical team on patient claims and billing issues - Daily
processing of incoming department mail - Stay updated on healthcare
regulations, medical terminology, and coding practices - Cross-train and
serve as a backup for other billing department functions as needed
Qualifications: - At least 2 years of medical billing experience in a
physician practice or healthcare setting - Excellent computer,
organizational, communication, and customer service skills - Strong
attention to detail, sound judgment, and the ability to manage multiple
priorities in a fast-paced environment - Ability to work independently
while contributing to a collaborative, small-team environment Schedule:
Monday through Friday, 7:00 a.m. - 3:30 p.m. Benefits: Northern
Berkshire Pediatrics offers competitive pay and a benefits package that
includes medical insurance, retirement benefits, paid time off, paid
holidays, optional dental and vision insurance, and more. If you\'re an
experienced medical billing professional looking to make a meaningful
contribution as part of a dedicated team, we\'d love to hear from you.
Please submit your resume and a brief cover letter.

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