Medical Billing Specialist

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 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 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 have specific experience with medical insurance billing and accounts receivable procedures. They must possess expertise with medical billing functionality in an electronic medical record system (Athena EMR experience is a plus), 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 / updates 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.
• 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 (CPC certification is a plus!)
• 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:

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

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

• Paid time off plus a paid day off for your birthday
• 401K (with matching after 1 year of full time employment)
• Medical insurance
• Dental insurance
• Vision insurance
• Medical Flex and Dependent Care FSA
• Life insurance
• Opportunities for additional insurance coverage
• Dress down for charity Fridays
• An excellent work environment
• And more!

Job Types: Full-time, Part-time

Pay: $21.00 - $25.00 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

Schedule:

• 8 hour shift
• Day shift
• No nights
• No weekends

Experience:

• Medical billing: 1 year (Preferred)

Ability to Commute:

• Springfield, MA 01107 (Required)

Work Location: In person

Salary : $21 - $25