HealthDrive is seeking full-time Billing Specialist to join our team! The Billing Specialist is responsible for the accurate and timely processing of assigned billing duties on a daily basis with the primary goal of sending a clean claim the first time to increase cash collections and reduce DSO. The hourly pay range for this position is $17.00 - $21.00 per hour.

We are conveniently located off Route 9 in Framingham, MA, close to routes 90 and 495 in a spacious modern office with a workout center available right in the building!

What's in it for you: PPO Medical, Dental, and Vision Insurance, 401(k) + Company match, Paid Time Off, hybrid schedule opportunity, monthly meal program, Verizon Wireless, Dell, and other employee discounts, profit sharing, and employee referral bonuses.

HealthDrive delivers on-site dentistry, optometry, podiatry, audiology, behavioral health, and primary care services to residents in long-term care, skilled nursing, and assisted living facilities. Each specialty offered by HealthDrive is one that directly impacts the quality of daily life for the deserving residents we serve. HealthDrive connects patients in need of vital healthcare to doctors committed to dignity and excellence.

HealthDrive is a place where everyone can grow and training is provided. Join our diverse team today!

• Review, prepare, and accurately submit assigned charges on a daily basis.
• Perform manual billing for certain hardware orders from dispense paperwork within 24 hours of receipt.
• Identify and communicate billing corrections to providers and perform follow-up to ensure corrections are processed in a timely manner within established guidelines.
• Review, communicate, and work with providers to resolve billing corrections.
• Reprocess certain denials outlined by the supervisor in a timely manner.
• Meet or exceed daily productivity objectives for all assigned duties.
• Respond to email inquiries regarding billing related questions/issues within 24 hours.
• Process insurance updates daily.
• Review explanation of benefits from insurance payers for issues requiring follow up and resolution includes but is not limited to the following:
  • Claims denied for unable to identify patient /patient not covered on date of service.
  • Conduct timely follow-up with insurance payers, patients, responsible parties and/or facilities to obtain corrected/updated billing information.
  • Utilize insurance eligibility websites as needed to verify new insurance information received from patient, RP or facility prior to rebilling.
• Administrative tasks including but not limited to:
  • Assist with mailings, filing, processing refunds, and document scanning.
• Access the Clearinghouse to identify and correct rejected claims.
• Other duties and tasks may be assigned as appropriate or necessary.

Skills & Specifications:

• Excellent attention to detail and strong data entry skills with extensive knowledge of physician billing to Medicare, Medicaid and other insurance plans.
• Excellent interpersonal and customer service skills and the ability to communicate effectively and appropriately both verbally and in writing.
• Highly organized, have the ability to work in a fast-paced environment, be comfortable and effective working with both custom and “off the shelf” computer applications.
• Familiar with and experienced using online tools and insurance carrier websites.
• The individual should be self-motivated with excellent time management skills and a proven track record of consistently achieving assigned objectives.
• The ability to work effectively with minimal supervision who can work well independently and in a team-oriented environment.
• Have a positive attitude and adapt to change well.
• Must be fully proficient in using Microsoft Applications, especially Teams, Excel, Outlook and Word.

Education & Qualifications:

Experience in 3rd party medical billing and/or collections. Experience and knowledge of healthcare and medical terminology, including but not limited to: CPT ICD10 codes and use of modifiers. Experience in billing Medicare Part B, Medicare Replacement plans, and Medicaid for large multispecialty physician practice preferred. Experience in denial management preferred.