Full Job Description
Community Healthlink's Patient Accounts Office, located in Leominster, MA, is the agency's main patient accounts office. It plays a vital role in the effective delivery of services to our client population by ensuring the appropriate collection of client insurance receivables.
Compensation based on education and related work experience, licensure and other qualifications
Health and Dental insurance (available upon starting)
Generous paid sick, personal, holiday, and vacation time
Life and Disability insurance
401k with agency contribution
Wellness activity discounts
Work related travel reimbursement
Insurance Verification: Following established procedures; timely verify patient insurance or income information as appropriate.
assist the clinical and administrative staff in obtaining timely and appropriate service authorizations.
Manage and track all stages of the claims process for non-contracted and contracted payers.
Generate accurate insurance claims in a timely manner.
Pro-actively follow up on claim status.
Review Explanation of Benefit statements and take appropriate action via verbal or written appeal to challenge low payments and various denials .
Ensures claims are paid according to contractual agreements.
Identify payment trends that negatively impact accounts receivable by utilizing excel or other system generated reports.
Following established procedures, enter client, service, payment or patient information as assigned.
Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors.
Grade 4: Senior Billing Clerk- HSD/HiSet/GED required
Minimum of 2 years experience with medical billing and or insurance collections preferred
Outstanding interpersonal, verbal and written communications skill required
Demonstrated computer, prioritizing, and time management skills
Must be dependable and possess the ability to work well independently as well as part of a team
Must be able to pass CORI background check
Community Healthlink is an Affirmative Action/ Equal Opportunity Employer. We do not discriminate in employment and personnel practices on the basis of race, sex, gender identity, age, ancestry, disability, religion, national origin, marital status, sexual preference, political affiliation or any other basis prohibited by applicable law. Hiring, transferring and promotion practices are performed without regard to the above listed items.
If applicable, Community Healthlink shall also abide by the requirements of 41 CFR 60-300.5(a) and 41 CFR 60-741.5(a). These regulations prohibit discrimination against qualified protected veterans and qualified individuals on the basis of disability. These regulations require affirmative action by Community Healthlink to employ and advance in employment qualified protected veterans and individuals with disabilities.