Medical Billing Specialist

Sisters of Mercy; Cumberland (RI); On-site; USD 30,000 - 41,000; Part time

Job summary

The Sisters of Mercy in Cumberland, RI, is seeking a part-time Medical Billing Specialist to manage health insurance billing and claims processing. You will verify eligibility, submit claims, monitor receivables, and ensure HIPAA compliance while supporting the Institute's mission.

This in-office role emphasizes accuracy, collaboration with the Director of Sister Health Insurance & Benefits, and maintaining confidential financial records in a community-focused environment.

Qualifications

• 2+ years of accounting or patient care office experience.
• Knowledge of Sisters of Mercy charism and mission values.
• Ability to handle confidential information with professionalism.

Responsibilities

• Process medical claims and submit to payers accurately and timely.
• Monitor outstanding receivables and follow up on aging claims.
• Verify insurance eligibility and benefits before submission.
• Investigate and resolve claim denials and resubmit as needed.
• Review billing and coding for accuracy and compliance.
• Maintain health benefits and patient records in billing systems.
• Follow HIPAA requirements and payer guidelines.
• Prepare billing reports and performance metrics.
• Collaborate with clinical and administrative teams to resolve issues.
• Identify opportunities to improve billing accuracy and efficiency.
• Respond to billing questions clearly and professionally.
• Support training of junior billing staff as needed.

Skills

Communication skills

Confidentiality

Independent worker

Tools

Blackbaud Financial Edge

General ledger software

Job description

Location: Cumberland, Rhode Island
Schedule: Part-Time
Salary Range: $22 – $30 an hour

The Opportunity

Are you detail-oriented and experienced in medical billing and insurance processes? Join the Sisters of Mercy as a Medical Billing Specialist and help maintain health insurance programs and billing processes that support Sisters of Mercy throughout the Institute.

This is an in-office, part-time position based in Cumberland, Rhode Island. You’ll work collaboratively with the Director of Sister Health Insurance & Benefits to support accurate billing, maintain health benefits records, and help ensure community-sponsored health insurance programs run smoothly.

Why You’ll Love It Here:

• Mission-centered environment where your work supports the well-being of retired Sisters
• Collaborative, team-oriented workplace
• Opportunity to contribute to accurate and efficient health insurance and billing processes
• Meaningful work supporting the Sisters of Mercy throughout the Institute

What You’ll Do:

• Process medical claims accurately and submit them to insurance payers in a timely manner
• Monitor outstanding receivables and follow up on aging claims
• Verify insurance eligibility and benefits before claim submission
• Investigate and resolve claim denials, including identifying root causes and resubmitting claims as needed
• Review medical billing and coding for accuracy and compliance
• Maintain accurate health benefits, patient, and insurance records in the appropriate databases and billing systems
• Follow HIPAA requirements and payer-specific billing guidelines
• Prepare billing reports, performance metrics, and pipeline updates as needed
• Collaborate with clinical and administrative teams to resolve billing issues
• Identify opportunities to improve billing accuracy and efficiency
• Respond to billing questions and explain billing information clearly and professionally
• Support training and mentorship of junior billing staff as needed

What You Bring:

• Experience in an accounting or business office environment.
• A minimum of 2 years of experience, including budgeting, financial analysis, and financial accounting, or experience in a patient care business office.
• Knowledge and understanding of the charism of the Sisters of Mercy; embraces the mission and values.
• High level of confidentiality and demonstrated ability to handle situations professionally with great sensitivity.
• Knowledge of Blackbaud’s Financial Edge software or other general ledger/financial software.
• Demonstrated success in critical thinking, data interpretation, and financial analysis.
• Demonstrated initiative and ability to work independently.
• Ability to complete high-quality, accurate work by predetermined deadlines.
• Excellent written and oral communication skills, including the ability to present and explain information to various constituencies.
• Ability to gain the confidence and respect of others through expertise, accuracy, and the ability to communicate with people with varying levels of understanding of financial matters.

Join us and make a meaningful difference in the lives of the Sisters of Mercy. Share your skills, compassion, and dedication while supporting their mission and living values of mercy, service, and social justice every day.