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:

Strong experience in a medical billing role, preferably in Ob/Gyn
Active Certified Professional Coder designation is a plus (but not required)
Athena EMR experience 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: From $23.50 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

Work Location: In person

Baystate Ob/Gyn Group, Inc.

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Medical Billing Specialist