Hybrid-Eligible Patient Billing & Claims Specialist

South Shore Hospital, Inc.; Weymouth (MA); Hybrid; USD 31,000 - 44,000; Full time

Job summary

South Shore Hospital, Inc. is seeking a Patient Accounts Representative in Weymouth, MA to manage insurance claims, denials and balances using the EPIC Billing System.

The role focuses on Medicare collections, accurate submissions and timely follow-up in a 40-hour work week. The position requires knowledge of healthcare billing and strong communication; hybrid or remote options may be available after training.

Qualifications

• Knowledge of healthcare billing, insurance plans, codes and reimbursement methods.
• Proficiency in data entry and basic computer skills including Microsoft Office.
• Excellent organizational and multitasking abilities; strong communication skills.

Responsibilities

• Maintain up-to-date knowledge of billing regulations, policies and code sets.
• Process UB-04 and 1500 claims; submit and correct as per payer rules.
• Initiate collection of aged accounts receivable using Epic work queues.
• Coordinate with denial management, clinical departments and patient access.
• Document actions in EPIC notes; maintain 30-day follow-up on accounts.

Skills

Healthcare billing

HIPAA compliance

Communication skills

Multitasking

Analytical ability

Team collaboration

Education

High school diploma

Tools

EPIC

EPIC Billing

MS Outlook

SharePoint

OneDrive

Mytime payroll

Job description

South Shore Hospital, Inc. is seeking a Patient Accounts Representative in Weymouth, MA to manage insurance claims, denials and balances using the EPIC Billing System.

The role focuses on Medicare collections, accurate submissions and timely follow-up in a 40-hour work week. The position requires knowledge of healthcare billing and strong communication; hybrid or remote options may be available after training.