Senior Medical Billing & Coding Specialist

Rhode Island Hospital; United States; On-site; USD 30,000 - 50,000; Full time

Job summary

Brown University Health is seeking a Senior Billing Specialist to perform patient account verification and claims research against payer specifications. The role includes resolving insurance denials and analyzing CPT/ICD-10 coding, with daily interactions across departments.

Ideal candidates have 4+ years in medical billing, strong problem-solving skills, and experience with CPT, ICD-10, and HCPCS coding. Location is Providence, RI; standard daytime hours apply.

Qualifications

• High school diploma or equivalent; CPT4/ICD-9/10 and HCPCS knowledge; reimbursement policies.
• Experience with medical billing in a fast-paced office or billing service.
• Strong analytical and problem-solving skills for denials and coding issues.

Responsibilities

• Research claims in the system and verify patient information against payer specifications.
• Follow up on payer denials to ensure proper re-processing of rejected claims.
• Analyze coding of procedures and diagnoses using ICD-10 and CPT codes.
• Review bills prepared by others to correct errors; coordinate with other departments to resolve issues.
• Obtain and verify accurate patient registration information; respond to billing inquiries promptly.

Skills

CPT4 coding

ICD-10 coding

HCPCS knowledge

claims processing

customer service

research and problem solving

Education

High school diploma or equivalent

Tools

Billing software

Job description

Brown University Health is seeking a Senior Billing Specialist to perform patient account verification and claims research against payer specifications. The role includes resolving insurance denials and analyzing CPT/ICD-10 coding, with daily interactions across departments.

Ideal candidates have 4+ years in medical billing, strong problem-solving skills, and experience with CPT, ICD-10, and HCPCS coding. Location is Providence, RI; standard daytime hours apply.