The Panther Grouphttps://www.thepanthergrp.com/wp-content/uploads/2022/03/sm-logo-200x200-1.pnghttps://www.thepanthergrp.comhttps://www.thepanthergrp.comUSD24.00HOURtrue
MEDICAL BILLING SPECIALIST
Â
The Panther Group is hiring for a Medical Billing Specialist, or Insurance Recovery Analysts (IRA), with experience in General Liability Claims, Workman's Compensation & Motor Vehicle.
Â
The IRAs are responsible for processing commercial, governmental and/or third-party liability (workman’s compensation, general liability, and motor vehicle liability) medical claims. This position ensures that ClaimAssist’s clients (hospitals) recover the maximum allowable medical fees in the most timely, efficient, and confidential manner.
 ESSENTIAL FUNCTIONS:
Investigates, negotiates, bills and follows-up for payment regarding first and third-party claims involving any and all coverages, liability, and legal issues.
Identifies viable payers, obtains IBs, UBs, HCFAs, correspondence, and medical records when necessary.
Maintains the highest level of privacy in accordance with HIPAA requirements and laws.
Works their inventory by route while maintaining an acceptable level of aged accounts receivable.
Contacts patients, payers, hospitals, attorneys, employers, and any other parties involved to collect the necessary information and ensure reimbursement for our client.
Recovers maximum dollars for the hospital through coordination of benefits in a timely manner.
Appeals claims when applicable.
Meets monthly company, team, and individual goals, and all deadlines set by the Team Lead and Manager, Operations.
Completes special projects, as requested.
 QUALIFICATIONS:
Minimum of four (4) years of directly related industry experience.
Emdeon/ChangeHealthcare billing experience is a plus.
EPIC, CERNER and/or MEDITECH experience is a plus.
Experience working claims in multiple states is a plus.
Strong technical knowledge in one or more areas of commercial insurance, government insurance, workman’s compensation, motor vehicle liability, general liability and claims processing systems.
Knowledge of medical and insurance terminology.
Knowledge of coordination of benefits.
Working knowledge of FACS (ClaimAssist’s host system) or comparable management software system.
Ability to speak confidently over the phone
Basic knowledge of Microsoft Excel and Word.
Ability to provide quality customer service to all parties.
Ability to work in a fast-paced environment
Demonstrated knowledge of state laws and insurance statutes.
Excellent interpersonal and verbal/written communications skills.
Highly motivated, self-starter, organized and detail-oriented.
Ability to work well individually, as well as part of a team.
Coachable: receptive to feedback, willing to learn, embraces continuous improvement, and responsive to change.
 EDUCATION REQUIREMENTS:
Bachelor’s degree in business or related field preferred
High school or equivalent is required
Insurance Institute Certificate(s) highly desirable.
Â
Pay Rate: $22.00-$24.00 (depending on experience) PLUS monthly BonusÂ
Ready to take the next step in your career? Explore our job opportunities in the vibrant area around Norwood, Massachusetts! Located just outside of Boston, Norwood offers a perfect blend of small town charm and big city amenities. From the historic Norwood Theatre to the lush trails of Francis William Bird Park, this area has something for everyone. Enjoy delicious New England cuisine, catch a game at Gillette Stadium, or explore the local art scene at Infinity Art Gallery. Join us in Norwood and discover endless growth opportunities and a supportive community that will help you thrive professionally. Start your job search today and take advantage of all that this exceptional region has to offer!
Are you sure you want to apply for this job?
Please take a moment to verify your personal information and resume are up-to-date before you apply.
