Summary:
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Responsibilities:

KEY RESPONSIBILITIES:

Maintain third party billing records research and analyze delinquent third-party payer claims resolution of problems such as reimbursement and then adjust and resubmit claims. Follow up on submitted claims and patient billing.
Research and analyze delinquent third-party payer claims such as Medicare Medicaid and Commercial and Non-commercial carriers; verify patient eligibility adjust and submit claims as necessary.
Respond to inquiries from patient/third-party payers; explain insurance coverage to patients research problems and correct errors by utilizing accurate ICD 9 and CPT codes.
Maintain and update patient demographic information for proper billing to Insurance carriers as necessary.
Follow up on submitted claims monitor unpaid claim reports; initiate tracers; resubmit claims as necessary.
Respond to all inquiries from third-party payers in a timely manner. Respond to inquiries from individual insurance carriers (Commercial and Non-commercial) as well as patient calls with specific insurance questions.
Post and initiate corrective action for all rejections from checks as well as correspondence from different insurance carriers.

 

Other information:

REQUIRED QUALIFICATIONS:

Knowledge in third-party medical billing with 2 years' experience in specialty services preferred.
Solid working knowledge of third-party billing ICD 10 and CPT codes
Excellent interpersonal and communication skills high level of organizational skills; self-motivated; strong problem solving skills; the ability to exercise independent judgment based upon established policies protocols or practices

EDUCATION:

High School diploma required.

 

Brown University Health is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race color religion sex national origin age ethnicity sexual orientation ancestry genetics gender identity or expression disability protected veteran or marital status.   Brown University Health is a VEVRAA Federal Contractor.

 

Location: Brown Health Medical Group USA:RI:Providence

 

Work Type: Full Time

 

Shift: Shift 1

 

Union: Non-Union

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