Demo

Medical Billing/Coding Specialist

Baystate Ob/Gyn Group, Inc.
Springfield, MA Full Time
POSTED ON 3/10/2025
AVAILABLE BEFORE 4/26/2025

Are you an experienced Medical Billing Specialist with Certified Professional Coder certification 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 with CPC certification plays a crucial role in supporting efficient medical billing and coding 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 coding, 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 coding preferably in Ob/Gyn. The ability to adapt to the ever-changing landscape of healthcare billing is essential.

Responsibilities

  • Adds or modifies patient and insurance demographics.
  • Reviews and audits claims daily for submission to 3rd party payers.
  • Responsible for reviewing and detecting missing ICD-10 codes, CPT codes or missing documentation.
  • Researches and selects appropriate ICD-10 and CPT codes per CPC guidelines.
  • Reviews posting of all insurance payments for accuracy; communicates any discrepancies to the appropriate party.
  • Makes appropriate adjustments and transfer of balances when needed.
  • Reconciles payments.
  • Prepares and completes bank deposits.
  • Processes patients refunds.
  • Processes patient credit card payments.
  • Initiates inquiries on questionable claim denials or adjustments.
  • 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.
  • Counsels patients regarding high deductible policies and expectations for payment.

Knowledge, Skills and Abilities:

  • Polished communication and interpersonal skills
  • Medical billing and coding skills
  • Understanding of medical terminology
  • 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:

  • Strong experience in a medical billing role, preferably in Ob/Gyn
  • Active Certified Professional Coder designation required
  • Athena EMR experience is a plus
  • Experience with Medicaid and Medicaid replacement plans/policies is a plus
  • **Salary is commensurate with experience and certifications**

An excellent compensation/benefits package awaits the successful candidate! Benefits include:

  • Paid time off plus a paid day off for your birthday
  • 401K
  • Medical insurance
  • Dental insurance
  • Vision insurance
  • Medical Flex and Dependent Care FSA
  • Long and short-term disability insurance
  • Life insurance
  • Opportunities for additional insurance coverage
  • Dress down for charity Fridays
  • An excellent work environment
  • And more!

Job Type: Full-time

Pay: $23.00 - $25.00 per hour

Expected hours: 40 per week

Benefits:

  • 401(k)
  • Dental insurance
  • Employee assistance program
  • Flexible spending account
  • Health insurance
  • Life insurance
  • Paid time off
  • Referral program
  • Vision insurance

Schedule:

  • 8 hour shift
  • Day shift
  • Monday to Friday
  • No nights
  • No weekends

Work Location: In person

Salary : $23 - $25

If your compensation planning software is too rigid to deploy winning incentive strategies, it’s time to find an adaptable solution. Compensation Planning
Enhance your organization's compensation strategy with salary data sets that HR and team managers can use to pay your staff right. Surveys & Data Sets

What is the career path for a Medical Billing/Coding Specialist?

Sign up to receive alerts about other jobs on the Medical Billing/Coding Specialist career path by checking the boxes next to the positions that interest you.
Income Estimation: 
$45,179 - $57,594
Income Estimation: 
$50,843 - $65,310
Income Estimation: 
$123,711 - $168,798
Income Estimation: 
$61,395 - $78,649
Income Estimation: 
$83,875 - $113,485
Income Estimation: 
$42,871 - $52,898
Income Estimation: 
$61,395 - $78,649
Income Estimation: 
$37,814 - $46,552
Income Estimation: 
$42,871 - $52,898
View Core, Job Family, and Industry Job Skills and Competency Data for more than 15,000 Job Titles Skills Library

Job openings at Baystate Ob/Gyn Group, Inc.

Baystate Ob/Gyn Group, Inc.
Hired Organization Address Springfield, MA Full Time
Are you an experienced medical office receptionist who excels at providing the best service to patients in a dynamic med...

Not the job you're looking for? Here are some other Medical Billing/Coding Specialist jobs in the Springfield, MA area that may be a better fit.

Medical Biller

Quality Billing and Consulting, East Longmeadow, MA

AI Assistant is available now!

Feel free to start your new journey!