Medical Billing Specialist

Comcap; Warwick (RI); On-site; USD 35,000 - 50,000; Full time

Benefits offered by this job

403(b)

Health insurance

Vision and dental insurance

Tuition reimbursement up to $1,000 annually

Employee Assistance Program

Generous vacation and sick days

Up to 13 paid holidays

Job summary

Comcap in Warwick, Rhode Island, is looking for a Medical Billing Specialist to handle third-party insurance payments and claims follow-up. This full-time position demands flexibility and involves training staff while addressing patient billing inquiries.

The ideal candidate will have 1-3 years experience and a Medical Billing Certification. A comprehensive benefits package is available, including health insurance and tuition reimbursement.

Qualifications

• 1-3 years of experience in third party billing.
• Strong knowledge of practice management systems.
• Basic understanding of Third‑Party Reimbursement.

Responsibilities

• Record and post all third-party payments and adjustments.
• Work with manager to evaluate denials.
• Train staff on procedures and respond to inquiries.

Skills

Bilingual in Spanish

Basic Microsoft Office skills

Knowledge of medical billing principles

Education

Medical Billing Certification

Tools

Practice Management System

Job description

CCAP Mission Statement

To empower all people and communities, challenged by poverty as well as social and cultural barriers, through advocacy, education, and access to high quality health and human services.

JOB SUMMARY

Responsible for posting all third‑party insurance payments, process all denials appropriately and follow‑up on all unpaid claims. Work with patients and external collections company to provide account resolution. Work with the Billing Manager to maintain A/R.

WORK SCHEDULE DEMANDS

• This is a full‑time, 40 hours per week position.
• Due to the nature of the job, this individual must be flexible with their schedule to accommodate the client population.

REQUIRED QUALIFICATIONS

• 1-3 years of experience in third party billing
• Medical Billing Certification, preferred
• Must possess all basic billing knowledge and understanding of Third‑Party Reimbursement.
• Working knowledge and strategic understanding of medical billing and reimbursement principles, procedures, and documentation
• Knowledge of physician referral protocols and conventions
• Must be able to use a computer and possess basic skills in Microsoft Office products, i.e. Excel, Outlook and Word
• Strong knowledge of practice management system
• Complete all required background checks
• Provide/maintain all required immunizations and/or vaccinations
• Bilingual in Spanish, preferred.

KEY RESPONSIBILITIES

• Record and post all third‑party payments and adjustments in practice management system
• Works with manager to evaluate denials and trends in insurance payments and denials
• Works with Billing Manager and Site Managers to train and educate staff on proper procedures
• Answers questions from patients, clerical and front desk staff and insurance companies
• Identifies and resolves patient billing complaints
• Prepares and reviews weekly patient statements
• Evaluates the patient’s financial status and establishes budget payment plans. Follows and reports status of delinquent accounts
• Participates in educational activities and attends monthly staff meetings
• Performs various collection actions including but not limited to contacting patients by phone, correcting and resubmitting claims to third party payers
• Maintain/possess professional telephone manner
• Ability to read, understand and follow oral and written instructions
• Maintain/possess excellent communication skills, both written and verbal, and internal personal skills.

Our Benefits

Our comprehensive benefits package includes 403(b), health insurance, vision and dental insurance, flexible spending accounts, health reimbursement accounts, tuition reimbursement up to $1,000 annually, an Employee Assistance Program, generous vacation, sick and personal days, and up to 13 paid holidays for all eligible employees. Some benefits are included for part‑time employees.

CCAP strives to cultivate and sustain a workforce devoted to providing compassionate and respectful care to all patients and clients. We are an Equal Opportunity Employer, committed to providing equal employment opportunities to all employees and applicants for employment without regard to any characteristic protected by federal, state, or local law.