Senior Medical Billing & Claims Resolution Specialist

Brown University Health; Town of Providence (NY); On-site; USD 30,000 - 50,000; Full time

Job summary

Brown University Health in Providence, RI, seeks a Sr Billing Specialist to verify patient accounts, review insurance program specifications, and resolve high-dollar claims and denials. The role collaborates with departments to ensure accurate coding (ICD-10, CPT) and compliant billing, while staying current with payer guidelines and customer inquiries.

This position requires 4+ years in medical billing, strong analytical skills, and the ability to navigate multi-facility systems within a

Qualifications

• High school diploma or equivalent with 4+ years in fast-paced medical billing environments.
• Thorough knowledge of CPT, ICD-10 coding and reimbursement policies.
• Strong analytical, problem-solving and customer-service skills.

Responsibilities

• Research and verify patient accounts against insurance specifications.
• Follow up on payer denials and re-process rejected claims as needed.
• Analyze and resolve coding issues using ICD-10 and CPT.
• Review reports and records for accuracy and completeness.
• Coordinate with other departments to resolve errors.

Skills

Medical billing

Medical coding

Customer service

Analytical thinking

ICD-10 coding

Education

High school or equivalent

Tools

Billing software

EMR / Electronic records

Job description

Brown University Health in Providence, RI, seeks a Sr Billing Specialist to verify patient accounts, review insurance program specifications, and resolve high-dollar claims and denials. The role collaborates with departments to ensure accurate coding (ICD-10, CPT) and compliant billing, while staying current with payer guidelines and customer inquiries.

This position requires 4+ years in medical billing, strong analytical skills, and the ability to navigate multi-facility systems within a