medical job: BILLING SPECIALIST, Partners Healthcare Systems

Responsible for the timely and accurate submission of billed claims for both Inpatient and Outpatient Medicaid.
Performs all related follow-up and resubmission of claims in accordance with payer specific mandates.
Analyze and process Medicaid credit balance as necessary for void to Mass Health.
Work with various site managers and their related staff members in obtaining correct insurance information.
Interacts with case managers in obtaining information i.e. authorizations/screening numbers for Inpatient claims.
Utilize all resources available to obtain updated information including telephone inquiries, payer websites and Nehen to verify eligibility and claim status whenever possible.
Other duties as requested or assigned.

Qualifications

High school diploma or equivalent required.
Knowledge of Hospital billing, including interactions with insurance companies to resolve billing and/EOB issues. In addition to, the need for knowledge and experience with UB04.
Office skills, such as data entry, filing, faxing and ability to work as team member.
Specific experience with billing Medicaid for facility claims preferred.
Moderate computer skills such as: Microsoft office, Email, Meditech hospital billing system knowledge a plus. Attention to details is a must.