Medical Billing Specialist

The Sisters of Mercy of the Americas; Cumberland (RI); On-site; USD 30,000 - 41,000; Full time

Job summary

The Sisters of Mercy of the Americas invites applications for a Medical Billing Specialist in Cumberland, RI. This non-exempt role focuses on accurate health billing, insurance verification, and timely claims processing to support compassionate care for our community.

You’ll maintain confidential financial records, monitor receivables, and work with teams to improve billing efficiency while upholding HIPAA and payer guidelines. Join a mission-driven ministry of care.

Qualifications

• Experience in an accounting or business office environment.
• 2+ years of budgeting, financial analysis, and financial accounting, or in a patient care business office.
• Knowledge of general ledger or financial software (e.g., Blackbaud Financial Edge).
• Strong analytical, data interpretation, and confidentiality skills.
• Ability to work independently and meet deadlines.
• Excellent written and verbal communication, with ability to explain financial information clearly.

Responsibilities

• Process medical claims accurately and submit to insurance payers promptly.
• Monitor outstanding receivables and follow up on aging claims.
• Verify insurance eligibility and benefits before claims submission.
• Investigate and resolve claim denials and resubmit as needed.
• Review billing and coding for accuracy and compliance.
• Maintain accurate health benefits and billing records in systems and databases.
• Follow HIPAA requirements and payer-specific guidelines.
• Prepare billing reports and performance metrics; collaborate with teams to resolve issues.

Skills

Accounting experience

Financial analysis

Data interpretation

Communication skills

Confidentiality

Independent work

Deadline-driven

Tools

Blackbaud Financial Edge

Job description

Location: Cumberland, RI
FLSA Status: Non-exempt
Salary Range: $22.00 - $30.00 per hour
Telecommute: Not Eligible

Welcome to Mercy, where the mission meets you!

Are you a Medical Billing Specialist with a heart for service and a passion for supporting accurate, efficient healthcare billing? Join the Sisters of Mercy, and be part of something extraordinary—caring for those who have spent their lives caring for others.

Why You’ll Love It Here:

Support the well-being of our Sisters through accurate health insurance and billing processes.

Work in a collaborative, mission-centered environment.

Make a meaningful contribution to the efficient management of health benefits 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 submitting claims.

Investigate and resolve claim denials, identify root causes, and resubmit claims as needed.

Review medical billing and coding for accuracy and compliance.

Maintain accurate health benefits, patient, and insurance records in billing systems and databases.

Follow HIPAA requirements and payer-specific billing guidelines.

Prepare billing reports, performance metrics, and 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.

Perform other duties as assigned.

What You Bring:

Experience in an accounting or business office environment.

At least 2 years of experience in budgeting, financial analysis, and financial accounting, or in a patient care business office.

Knowledge of Blackbaud Financial Edge or other general ledger or financial software.

Strong critical-thinking, data interpretation, and financial analysis skills.

High level of confidentiality and the ability to handle sensitive situations professionally.

Initiative and the ability to work independently.

Ability to produce accurate, high-quality work by established deadlines.

Excellent written and verbal communication skills, including the ability to explain financial information to diverse audiences.

Ability to build trust through expertise, accuracy, and effective communication.

Understanding of and commitment to the mission and values of the Sisters of Mercy.

More Than a Role—It’s a Ministry of Care

At the Sisters of Mercy, our mission is rooted in compassion, dignity, and social justice. When you care for our retired Sisters, you become part of a legacy of mercy and service.

Ready to Bring Your Whole Heart to Work?

If you’re looking for more than just a job—and want to make every shift meaningful—apply today. Let your compassion shine with the Sisters of Mercy.