Are you an experienced Medical Billing Specialist interested in working for the premier, privately-owed women's health practice in the Greater Springfield, MA area? Would you like to join the billing department team of a successful Ob/Gyn group with an excellent provider group, strong management team, and amazing support staff? If you answered yes, we invite you to apply to BOGG! (Baystate Ob/Gyn Group, Inc.)
Job Summary
The Medical Billing Specialist plays a crucial role in supporting efficient medical billing workflows within the practice. The Billing Specialist is responsible for accurately processing medical claims from start to finish on an electronic medical record system. The position includes reviewing medical documentation, ensuring accurate billing, verifying insurance and patient payment postings, assisting staff and patients with billing related questions, and ensuring compliance with healthcare regulations while maintaining patient confidentiality. The individual must be familiar with third party billing, payment, and accounts receivable procedures. They must possess expertise with medical billing functionality in an electronic medical record system, and possess strong knowledge of CPT and ICD 10 billing (preferably in Ob/Gyn). The ability to adapt to the ever-changing landscape of healthcare billing is essential.
Responsibilities
- Reviews and scrubs claims daily for submission to 3rd party payers.
- Adds or modifies patient and insurance demographics.
- Reviews posting of all insurance payments for accuracy; communicates any discrepancies to the appropriate party.
- Makes appropriate adjustments and transfer of balances when needed.
- Counsels patients regarding high deductible policies and expectations for payment.
- Reconciles payments.
- Flags encounters for missing ICD-10 codes, CPT codes, or documentation.
- Prepares and completes bank deposits.
- Processes patients refunds.
- Processes patient credit card payments.
- Initiates inquiries on claim denials or adjustments as needed.
- Regularly follows up on outstanding accounts receivable.
- Responsible for knowledge of insurance company policies and regulations that impact claims processing.
- Answers inquiries from patients, insurance carriers, and staff regarding patient accounts and billings.
Knowledge, Skills and Abilities:
- Polished communication and interpersonal skills
- Medical billing skills; certifications in medical billing and coding are helpful but not required
- Medical terminology knowledge
- Excellent organizational and time management skills
- Competence in working with digital files
- Strong math skills
- Careful attention to detail
- The ability to multitask with ease
- The ability to work independently or as part of a team, depending on the task or project
- The ability to learn and adapt based on the demands of the position
- Complete confidentiality in all aspects of the position is required
Experience/Certifications Needed:
- Experience in a medical billing role; Ob/Gyn experience is a plus but NOT required.
- Athena EMR experience is a plus, but NOT required.
- Salary commensurate with experience and certifications.
An excellent compensation/benefits package awaits the successful candidate! Benefits include:
- Rest & Recharge: Holidays, generous PTO that increases with longevity, plus a paid day off for your birthday!
- Comprehensive Health: Premium Medical, Dental, and Vision insurance options.
- Financial Security: 401(k) retirement plan, Life Insurance, and Disability coverage.
- Smart Savings: Medical and Dependent Care Flexible Spending Accounts (FSA).
- Our Culture: "Dress Down for Charity" Fridays and a supportive, professional atmosphere where you are truly valued.
Job Type: Full-time
Pay: $23.00 - $26.00 per hour
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Flexible spending account
- Health insurance
- Life insurance
- Paid time off
- Professional development assistance
- Referral program
- Vision insurance
Work Location: In person
