Job description

Job Description:

Purpose
To ensure timely filing of insurance carrier claims, bank file retrieval, statement processing, accurate Explanation of Benefits (EOB) filing, and 835 retrieval.

Duties and Responsibilities

• Sending of 837 files
• Run validations in the Ntierprise software system on claims data to ensure billing integrity
• Prepare the electronic claims to be sent
• Collection of 835 files
• Electronically matching insurance payments to the correct practice in Allscripts PM
• Review on a daily basis the Insurance Carrier Reports to resolve discrepancies or incomplete claims and send unresolved issues to the proper department or an Account Manager for follow up
• Reconcile electronic payments by retrieving electronic bank files for each client and matching payments or denials to the corresponding insurance carrier
• Scanning/PDF images
• Access and store EOBs and related documents into the Touch Chart filing software system
• Adhere to the Code of Conduct and be familiar with all compliance policies and procedures

Qualifications
To perform this job successfully, an individual must be able to perform each duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or ability required. Reasonable accommodation may be made to enable individuals with disabilities perform the duties.

Education (Degrees, Certificates, Licenses, Etc.)

• High School Diploma or equivalent combination of education and experience required.
• Computer Skills
• Prior word processing, spreadsheet and internet software experience including proficiency with MS Excel and MS Word required.

Experience

• One to two years related experience with prior experience of EDI operations preferred.
• Specific Job Knowledge, Skill and Ability
• Ability to add, to subtract, multiply and divide in all units of measure; this ability will encompass using whole numbers, common fractions and decimals
• Ability to adjust to new processes and suggest improvements as you discover the need
• Ability to compute rates, ratios and percentages
• Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedural manuals
• Ability to write routine reports and correspondence
• Ability to communicate effectively verbally and in writing
• Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form
• Ability to deal with problems involving several concrete variables in standardized situations
• Specific vision abilities required by this job include close vision
• Ability to sit for prolonged periods of time, use hands, talk, hear and occasionally walk and reach with hands or arms

Specific Job Knowledge, Skill and Ability

• Ability to add, to subtract, multiply and divide in all units of measure; this ability will encompass using whole numbers, common fractions and decimals
• Ability to adjust to new processes and suggest improvements as you discover the need
• Ability to compute rates, ratios and percentages
• Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedural manuals
• Ability to write routine reports and correspondence
• Ability to communicate effectively verbally and in writing
• Ability to apply common sense understanding to carry out instructions furnished in written, oral or diagram form
• Ability to deal with problems involving several concrete variables in standardized situations
• Specific vision abilities required by this job include close vision
• Ability to sit for prolonged periods of time, use hands, talk, hear and occasionally walk and reach with hands or arms

Job Types: Full-time, Temporary

Pay: $17.00 - $19.00 per hour

Benefits:

• Health insurance

Schedule:

• 8 hour shift
• Monday to Friday

Ability to commute/relocate:

• Bedford, MA: Reliably commute or planning to relocate before starting work (Required)

Experience:

• Microsoft Excel: 1 year (Required)

Work Location: In person

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