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Medical Billing and Collection Specialist

Job ID 19000AQ8
Description
Medical Billing and Collection Specialist
Primary Location: MA-MALawrence-280 Merrimack St
Function:Finance

The MENTOR Network is expanding our Finance Shared Services Team. 

We have an amazing new office in Lawrence, Massachusetts, immediately off 495 and across from the Lawrence MBTA Commuter Rail stop.

 

Apply today to become a part of our mission driven organization! 


Description

  • Update procedures as necessary
  • Create the billing grid/tracker for each billing cycle and update with billing dates, how billed and any proof of billing from clearinghouse or payer websites
  • Work with Field on ensuring billing deadlines are met
  • Create electronic billing file formats and upload to clearinghouse or payer websites
  • Create paper billing on appropriate claim forms from billing system and send to payers
  • Complete web portal billing
  • Work any rejections from clearinghouse and payers including 999 and 277 reports
  • Run and reconcile the unbilled report throughout the month
  • Review and work denials daily, prepare appeals as needed
  • Update collection tool with clear concise notes for billing and collection issues
  • Notify Field of denials that require their attention
  • Review unapplied cash log for any items that can be applied and work with cash team to resolve
  • Work credit balances on the aging and overpayment account and follow the credit balance procedure for resolution
  • Communicate with Field and SSC Management on unbillable/unworkable items
  • Create and send out claims once updated and corrected in billing system
  • Create and send out Patient liability invoices and attach EOBs and credit card slips
  • Ensure internal control compliance with all assigned areas and other audit requirements
  • Assist in the onboarding of new hires by providing required training when necessary
  • Embrace concept mentoring by actively participating in team meetings and fostering an environment in which team members proactively collaborate with one another
  • Proactively supports management as well as the objectives and goals of the department
  • Supports special projects, mission critical initiatives and performs other duties as assigned by the Supervisor
  • System testing



Qualifications:

  • High school diploma or equivalent
  • Associates or Bachelor's degree in a Finance related field preferred
  • Two plus years of experience with Medical Billing and Collections in a high volume environment preferred
  • Knowledge of ICD-10 diagnosis codes and CPT medical service codes
  • Strong understanding of medical billing compliance
  • Strong understanding of Medicare, Medicaid, Medicaid managed care, Commercial, Workers Comp and Auto-no-fault payer types
  • Must be self-motivated and detail oriented
  • Must have excellent communication skills
  • Must be highly organized with ability to multi-task
  • Must have analytical skills and the ability to collect information from different sources
  • Effectively use Microsoft Office (Word, Excel, PowerPoint, Outlook, etc.)

What we offer:
  • Competitive compensation/benefits package including 401(k) with company contribution, company paid life insurance and company paid short and long term disability
  • A rewarding work environment with some of the best co-workers you could ask for
  • Competitive Paid Time Off & Holiday Pay
  • A dynamic, growing work environment
  • Advancement opportunities within our nation-wide Network

EOE/AAE

Founded in 1980, The MENTOR Network is a national network of local human services providers.  Our shared service center in Lawrence, MA, supports the finance, HR, and IT operations for our ~30,000 employees who serve ~30,000 individuals in 36 states.  We have a great work environment and you’ll be surrounded with a strong and supportive team of peers, leaders and colleagues.  When you join The MENTOR Network, you’ll make a difference every day and help to provide quality of life enhancing services to individuals across the country.


Come join our team of dedicated and caring professionals Apply Today!

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