Compass Medical, P.C.
  • Business Office
  • East Bridgewater, MA, USA
  • Salary
  • Full Time

Medical, Dental, 401k, PTO & more


Job #01432R

Compass Medical is a physician owned & directed healthcare company and is affiliated with Steward Healthcare Systems. Compass Medical is a fully integrated healthcare provider that offers high quality healthcare solutions from several locations south of Boston, Massachusetts. We offer Primary Care, Walk-In Urgent Care, limited Specialty Care - including Cardiovascular, Radiology & Imaging, Medical Laboratory, and more.

 

Scheduled Hours per week: Monday to Friday, Full time, 40 hours

Location:  East Bridgewater

General Summary / Overview Statement: A nonexempt, clerical position responsible for independently managing and monitoring daily work related to resolution of third-party payer accounts receivable follow-up, billing and re-billing and favorable resolution of denials and underpayments.

Principal Duties and Responsibilities:
Prepares and submits/re-submits clean claims and appeals to insurance companies either electronically or by paper in an accurate, timely and compliant manner.
Works all reports related to billing, such as work-lists, hold reports, and rejection reports to ensure claims are submitted timely and accurately, per billing guidelines.
Processes claims for secondary insurance carriers, attaching all required documentation to ensure claims are filed to appropriate payers.
Understands all payer guidelines related to claim submission; is knowledgeable and proficient with payer websites and other useful resources pertaining to the billing function.
Focuses daily on complying with policies, processes and department guidelines for billing and claim edit resolution
Reconcile postings to deposits in bank.
Transfer payments to and from various PM systems, CPS and eCW.
Resolve Unpostables/ credit balances in CPS and eCW.
Sort and direct correspondence.
Works with patients in person or over the phone to resolve billing related questions and or payments
Maintains strict confidentiality and adheres to all HIPAA guidelines/regulations.
TPL experience a plus
HPHC/TUFTS experience a plus
Other duties as assigned.

Qualifications:
Knowledge of HIPAA.
High school diploma or equivalent.
Knowledge of medical terminology, billing and coding.
Medical Billing Certificate/Degree preferred.
Medical Billing Certification from AMBA, CCS or equivalent a plus.

Skills and Abilities:
Knowledge of billing practices and clinical operation policies/procedures.
Ability to maintain payment records of all applicable patients, assisting with payment arrangements and collecting on past due accounts.
Ability to input data/information into a computer system.
Ability to communicate with internal staff, insurance company representatives and patients to resolve billing issues.

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____________________________________________________
Please apply on-line.
Please no telephone calls.
Please no faxing, mailing or hand-delivering resumes.

 

ALL RECRUITMENT IS PERFORMED THROUGH THE BUSINESS OFFICE IN EAST BRIDGEWATER.

 

 

Compass Medical
Business Office
362 North Bedford Street
Route 18
East Bridgewater, MA 02333

 

www.CompassMedical.net

jobs@CompassMedical.net

Compass Medical, P.C.
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