Under the general supervision of the Director of Revenue Cycle Management the Medical Billing Specialist is responsible for accurate claims submission, accounts receivable follow-up, payment posting, EOB and COB processing, credit balance refunds, bad debt and collections. Using initiative to research problems and determine correct action steps to resolve eligibility, billing and account problems, and working in collaboration with an outside billing company. This may involve accessing the clinical computer system where source information resides; contacting departmental/practice representatives to obtain additional information, researching source charge entry/clinical report documents to verify information, etc. Responsible for the posting of billing information from the clinical management system to the billing system. Assist in the preparation of reports and analyses, providing feedback and recommendations to management relating to findings.
Salary Grade: 052
Union: 55 - Hvd Union Cler & Tech Workers
High School graduate or equivalent with at least five years medical billing experience or college degree with a minimum of 2 years experience. Must have a working knowledge of CPT and ICD-10 codes, data entry systems for 3rd party billing, various types of payers and their reimbursement and denial patterns.
Prior experience with Blue Cross/Blue Shield, Medicare, Medicare advantage plans, MVA and/or Worker's Compensation preferred. Thorough understanding of medical terminology.Must be a self-motivated individual with ability to work both independently and as a collaborative team member. Comprehensive knowledge of accounts receivable follow-up and collection procedures. Must enjoy a fast-paced environment and be flexible, energetic, and diplomatic. Must have proven ability to effectively handle competing priorities and multiple tasks, to take initiative, and to troubleshoot. Attention to detail and a commitment to delivery of quality customer service. Excellent interpersonal, organizational and communication skills. Knowledge of computers, including Microsoft Word and intermediate level Excel skills. Basic knowledge of business math
EQUAL OPPORTUNITY EMPLOYER: We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status, or any other characteristic protected by law.
Harvard University is devoted to excellence in teaching, learning, and research, and to developing leaders in many disciplines who make a difference globally. The University, which is based in Cambridge and Boston, Massachusetts, has an enrollment of over 20,000 degree candidates, including undergraduate, graduate, and professional students. Harvard has more than 360,000 alumni around the world. T...he University has twelve degree-granting Schools in addition to the Radcliffe Institute for Advanced Study, offering a truly global education. Established in 1636, Harvard is the oldest institution of higher education in the United States.