Healthcare Billing Lead — Claims, Coding & Denials

Lifespan; Providence (RI); On-site; USD 30,000 - 50,000; Full time

Job summary

Brown University Health in Providence, RI seeks a Sr Billing Specialist to perform patient insurance billing duties, verify information, and resolve billing inquiries. The role includes researching high-dollar claims, denials, and coordinating with third-party payers on regulatory changes.

Requirements include 4+ years in medical billing, CPT/ICD-10 knowledge, and strong customer service. Work is in a physician office practice billing environment with daytime hours.

Qualifications

• High school diploma or equivalent.
• Experience with CPT/ICD-10 coding and reimbursement policies.
• Strong focus on accurate patient billing and coding.

Responsibilities

• Research and verify patient account information against insurance specifications.
• Follow up on payer claim denials and re-process as needed.
• Analyze coding of surgical procedures using ICD-10 & CPT codes.
• Respond to patient billing inquiries promptly and courteously.

Skills

Medical billing

Claims processing

CPT ICD-10 coding

Customer service

Education

High school diploma

Tools

Billing software

EHR systems

Job description

Brown University Health in Providence, RI seeks a Sr Billing Specialist to perform patient insurance billing duties, verify information, and resolve billing inquiries. The role includes researching high-dollar claims, denials, and coordinating with third-party payers on regulatory changes.

Requirements include 4+ years in medical billing, CPT/ICD-10 knowledge, and strong customer service. Work is in a physician office practice billing environment with daytime hours.