Billing Representative - Providence, RI - Full-time / Part-time

Position Description:

Healthcare isn't just changing. It's growing
more complex every day. ICD-10 Coding replaces ICD-9. Affordable Care adds new
challenges and financial constraints. Where does it all lead? Hospitals and
Healthcare organizations continue to adapt, and we are vital part of their
evolution. And that's what fueled these exciting new opportunities. 

Welcome
to one of the toughest and most fulfilling ways to help people,
including yourself. We offer the latest tools, most intensive training
program in the industry and nearly limitless opportunities for
advancement. Join us and start doing your life's best work.

Primary Responsibilities:

• Responsible for the accurate processing and completion of medical claims.
• Process claims that route out of automatic adjudication, within current turnaround standards.
• Proficiency in product lines applicable to processing unit.
• Understand and apply plan concepts to include:
• Deductible
• Coinsurance
• Co-pay
• State variations
• Recognize issues related to variable deductible, coordination of benefits, carve-out and alternate benefits.
• Process correspondence and requests for reconsideration within time service standards.
• Use pre-approved electronic
  letters as well as handwritten letters to communicate with customers,
  providers, attorneys, regulators and other external entities.
• Adhere to quality improvement initiatives.
• Demonstrate increasing productivity to meet minimum requirements while maintaining quality standards.
• Special projects as required.

Requirements:

• High School Diploma or GED is required
• Basic proficiency in MS/Office (Word, Excel & Outlook).
• Experience with Medical Insurance
• Must be able to work between 8:00am – 4:30pm with some flexibility (Monday – Friday)      

Assets:

• Medical Billing experience is preferred.
• Previous experience working in an Accounts Receivable department is preferred.      

Physical Requirements and Work Environment:

• Frequent speaking, listening using
  a headset, sitting, use of hands/fingers across keyboard or mouse,
  handling other objects, long periods working at a computer 
• Service center environment with moderate noise level due to Representatives talking, computers, printers, and floor activity