Our mission is to close the workforce skills gap for the unemployed in Rhode Island
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Skills for Rhode Island’s Future is recruiting candidates for Brown Dermatology. Please read more about Skills for Rhode Island’s Future at the end of this job description. COMPANY NAME: Brown Dermatology JOB TITLE: Medical Biller LOCATION: Providence, RI HOURS: 1st Shift
Under the general direction of the Manager of Revenue Cycle, performs a variety of functions related to patient accounts to ensure the financial stability of the organization.
Key Responsibilities:
Maintain current knowledge of federal and state regulations regarding medical billing practices.
Act as a resource to practice management and providers.
Maintain knowledge of all applications including eClinical Works, Epic, Microsoft Word, Excel and on-line payer verifications/claims status.
Submissions of claims to third party payers; ensure clean claim rates with submissions.
Identify trends within the Accounts Receivable
Verifies completeness and accuracy of all claims prior to submission.
Timely follow up on insurance claim denials, exceptions or exclusions.
Utilize monthly aging accounts receivable reports to follow up on unpaid claims aged over 30 days.
Refund processing for third party payors and patients.
Research and analyze payments for discrepancies to companies and individuals
Accurately post all insurance and patient payments. Reading and interpreting insurance explanation of benefits.
Make necessary arrangements for medical records requests, completion of additional information requests, etc. as requested by insurance companies.
Respond to inquiries from insurance companies, patients and providers.
Maintain patient confidentiality.
Demonstrate flexibility to perform duties wherever volume deems it necessary within the billing area.
Successful candidates will have:
High school diploma, GED
Three -five years of progressively more responsible third-party payor billing preferred,
A technical understanding of reimbursement policies and procedures of various third-party payor and medical assistance programs to ensure billing procedures are compliant.
Interpersonal skills to exchange information with patients, internal and external clients.
Understand the basic reporting and balancing. Analytical ability to research and resolve billing problems, trending and to prepare statistical reports depicting billing activity.
Knowledge of insurance guidelinesProblem-solving skills to research and resolve discrepancies, denials, appeals, collections.
Customer service skills for interacting with patients regarding medical claims and payments, including communicating with patients and family members of diverse ages and backgrounds.
Provide feedback to Brown Dermatology practices surrounding error trends with demographics, eligibility, etc.
HOW TO APPLY For more information and a full job description, please visit Skills for Rhode Island’s Future website at www.skillsforri.com/jobs. Applicants interested in this position will be screened by Skills for Rhode Island’s Future and Brown Dermatology will make the final hiring decisions. WHY APPLY THROUGH SKILLS FOR RHODE ISLAND’S FUTURE Our mission is focused on supporting unemployed and underemployed job seekers. Our goal is to get you back to work. Skills for Rhode Island’s Future’s team will guide and provide you with support throughout the hiring process. Skills for Rhode Island’s Future has agreements with employers to recruit talent like you, making us a resource to get the unemployed and underemployed job seeker back to work.
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About Providence, RI
Ready to embark on an exciting career journey in the vibrant city of Providence, Rhode Island? Explore our job opportunities in the heart of this charming city known for its historic architecture, renowned universities, and thriving arts scene. With exceptional dining options like Federal Hill's renowned Italian restaurants, the stunning WaterFire art installation, the captivating performances at the Providence Performing Arts Center, and the scenic Roger Williams Park for outdoor adventures, Providence offers a unique blend of culture, history, and opportunities for personal and professional growth. Join us in discovering the career possibilities this enchanting city has to offer!
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