Billing Specialist I,Professional

South County Health; Wakefield; On-site; GBP 60,000 - 80,000; Full time

Job summary

A healthcare system in Wakefield is seeking a full-time Billing Specialist II in the Patient Accounting Department. In this role, you will support billing functions for physician practices, manage denials and A/R collections, and communicate with insurance carriers. Candidates should have an Associates Degree, 3-5 years of third-party billing experience, and strong analytical and communication skills. A competitive salary and benefits package are offered, reflecting a commitment to work-life balance.

Benefits

Competitive salaries

Health insurance

PTO

Tuition reimbursement

Qualifications

• 3-5 years' experience third party billing for physician services.
• Substantial experience with denials, edits, and rejections.
• Two plus years of medical charge entry experience.

Responsibilities

• Support billing functions for South County Medical Group.
• Manage A/R collections and denials effectively.
• Communicate with insurance carriers regarding billing issues.

Skills

Third party billing

Denial management

Appeals process

Analytical skills

Communication skills

Education

Associates Degree or equivalent

High school diploma or equivalent

Job description

Overview

South County Health is an independent, non-profit healthcare system offering a comprehensive range of advanced inpatient, outpatient and home health services. Accredited by The Joint Commission (TJC), SCH is made up of South County Hospital, South County Home Health, and South County Medical Group. South County Health has received numerous distinctions for patient care and safety, including a 5-star rating on HCAHPS scores, a 5-star rating by CMS for overall hospital quality, and A’s for hospital quality and patient safety by The Leapfrog Group. Having celebrated over100 years of service to southern Rhode Island, South County Health offers an exceptional opportunity to provide our patients with the best care possible enjoying a healthy work-life balance. Our worksite wellness program was recently recognized as one of the top fifty such programs nationally. We offer competitive salaries and an attractive benefits package which includes, health, dental, vision, tuition reimbursement, 403b, PTO, and a broad range of career development benefits and opportunities.

Responsibilities and Qualifications

We are seeking a full-time Billing Specialist II in our Patient Accounting Department. This department supports the billing functions for South County Medical Group physician practices.

Minimum Qualifications:

• Associates Degree or equivalent work history/experience
• 3-5 years' experience third party billing for physician services
• Substantial experience with denials, edits and rejections
• Extensive background in appeals and A/R collections
• Significant experience with insurance carrier plans and carrier websites
• Excellent analytical trending, and verbal/written communication required

• high school diploma or equivalent
• two plus years of medical charge entry experience
• working knowledge of ICD9 and CPT procedures
• charge entry experience working in a Professional Central Billing Office
• knowledge of medical insurance plans and medical billing process
• strong attention to detail and accuracy

Compensation

Pay Range:$21.45 to $27.89