Commercial Health Biller

Lexington, MA | Direct Hire

Post Date: 10/17/2017 Job ID: 105608 Industry: Pay Rate: $47,800.00 - $52,000.00


Our client, a national revenue cycle company is seeking a Commercial Health Biller to join their team.  In this direct (permanent) role you will initiate appropriate electronic billings to commercial insurance, Medicare Advantage and MassHealth MCOs per coverage and limitations.

 

Responsibilities:
  • Follow up with claims
  • Work with various staff to investigate and correct problems according to established procedures.
  • Work with commercial insurance companies, MCOs and Medicare Advantage plans to identify status of accounts and obtain rapid resolution.
  • Resolve all denials and initiate appropriate appeals
  • Research customer complaints regarding accounts.
  • Access online EOBs and accurately research claims.
  • Use various systems to communicate, track, present and share information.
  • Previous commercial health billing experience required
  • Knowledge of HMO/PPO, Medicare, Medicaid, and other payer requirements and systems.
  • Effective communication abilities for phone contacts with insurance payers to resolve issues
  • Customer service skills for interacting with patients regarding medical claims and payments

 

About ACE Employment Services, Inc.: In 1989, ACE Employment Services, Inc. was founded to give companies in Massachusetts a personal and consultative approach to staffing. With a small internal staff and dedication, honestly and hard work we landed on the Boston Business Journal’ s Largest Temp Placement Firms in Massachusetts at #11. ACE Employment Services, Inc. is your partner for direct, temporary and temp-to-hire solutions. Learn more at www.AceBoston.net

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