[ref. k79472617] Medical Billing Specialist - Providence

This role also requires you to handle electronic eligibility posting and assist in the establishment of accounts. You will serve as a technical resource for enrollment and billing issues and will participate in special projects as required.

Responsibilities:

• Handle the keying in of enrollment transactions based on corporate underwriting guidelines.
• Manage and maintain dependent hold codes related to handicap, student, and COB status.
• Address inquiries to groups regarding eligibility questions or concerns.
• Generate and distribute subscriber ID Card/ID card summaries when required.
• Create and send correspondence to Accounts concerning Enrollment information.
• Ensure the accurate posting of all Electronic Eligibility.
• Assist in setting up accounts using the Web Enrollment System.
• Act as a technical resource for the company and accounts on enrollment/billing issues.
• Participate in the execution of our annual and monthly student recertification process.
• Investigate and resolve dental enrollment and billing queries.
• Manage returned mail in accordance with corporate policy.
• Engage in special projects as directed by management. • Proficiency in medical billing procedures and understanding of medical terminologies.
• Familiarity with health insurance policies and related billing procedures.
• Strong knowledge of billing software and electronic health record systems.
• Exceptional attention to detail, ensuring accurate billing data.
• Ability to manage multiple tasks and prioritize work to meet deadlines.
• Strong communication skills to interact with patients, insurance companies, and medical staff.
• Experience in preparing, reviewing, and transmitting claims using billing software.
• Ability to identify and resolve billing errors or discrepancies.
• Strong numerical skills to accurately calculate charges, refunds, and adjustments.
• Familiarity with ICD-10 codes and procedures.
• Understanding of confidentiality obligations and healthcare laws related to billing.
• Ability to maintain patient confidentiality at all times.
• Strong organizational skills and the ability to manage large amounts of data.
• Ability to work independently as well as in a team.