Job Details

Summary

Under general supervision of the Billing Supervisor for a large, multi-specialty physician group, the Billing Specialist is responsible for submitting clean claims to the payers and resolving all errors that result from claim scrubbing in the practice management system, the clearinghouse and the payer.

Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence, as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done. The core Success Factors include: Instill Trust and Value Differences Patient and Community Focus and Collaborate.

Responsibilities

• Review federal and state documentation for changes in billing regulations.
• Research payer policies and billing guidelines for professional billing.
• Stay abreast of all current billing rules and regulations.
• Resolve billing issues identified in the claim scrubbing process.
• Identify trends and work with IS staff to prevent issues from occurring.
• Recommend billing edits that need to be built in the practice management system and periodically review billing edits to assure they are still needed.
• Perform claims testing for IS when new departments are built or a change to an existing department occurs.
• Communicate with practices when multiple claim issues occur to have issue resolved so claims will not error out during electronic billing.
• Work with clearinghouse to resolve issues when needed.
• Collaborate with other teams, particularly the Claims follow-up team and the Hospital Billing team to assure efficient workflows across all teams.
• Report any issues that could impact our revenue stream or prevent clean claims from billing to the supervisor.
• Maintain productivity measures and accuracy standards defined by department.
• Participate in educational programs and in-service meetings. May participate in training of new employees.
• Maintain quality assurance, safety, environmental and infection control in accordance with established policies, procedures and objectives.
• Perform other related duties as required.
• Work is performed in a typical office setting requiring extended periods of sitting.

Minimum Qualifications

• High School diploma with proficiency in use of MS Office 2000 or later, particularly Excel and Word.
• One to two years' experience in medical billing, professional billing preferred.

Pay Range

$19.58$32.31 per hour

EEO Statement

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

Location

Corporate Headquarters 15 LaSalle Square, Providence, Rhode Island 02903

Work Type

MondayFriday, 7:30?am4:00?pm

Work Shift

Day

Daily Hours

8 hours

Driving Required

No

Job Attributes

• Seniority Level: Entry level
• Employment Type: Full-time
• Job Function: Accounting / Auditing and Finance
• Industry: Hospitals and Health Care