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Full Time
4/1/2025
Weymouth, MA 02188
(37.9 miles)
Job Description SummaryThe Third-Party Biller/Professional billing will accumulate data from Patient Access and Health Information Management for the purpose of submitting compliant third-party insurance and physician claims. Initiate all collection calls for payment on aged accounts receivable up to the point of self-pay collections. Generates reports for responsible insurance plans and maintains online collection worklists and online claims editing software for maximum efficiency. Ability to decipher reimbursement schemes for assigned insurances to complete the revenue cycle. We are looking for candidates with two years' experience in professional billing. Work Schedule: Monday through Friday, 8:00am - 4:30pm. This position has a hybrid option after 90 days.Job DescriptionKey Job Responsibilities:Maintains up-to-date knowledge of all Federal, State and Insurance specific billing regulations, policies, procedures and code sets. Retains knowledge of Hospitals Credit Collection Policy. Notifies manager of any changes that would affect claim submissionEvaluates daily claim file using online claim editing software for submission of 1500 claim forms.Initiate claim corrections as defined by insurance regulation and hospital policy.Evaluate unresolved accounts weekly, contact outside departments as needed and submit status to manager weekly to resolve unbillable accounts.Initiate collection of aged accounts receivable through an automated collector work list.Generate reports as needed for collection of aged accounts receivable.Accumulate at the beginning of each month or as requested a listing of unresolved/open accounts with aging greater than 120 days for manager review.Evaluate insurance reimbursement schemes as needed to verify that payments and adjustments have been accurately recorded. Communicate with patients as needed for additional insurance or other information needed in order to process a claim.Generate phone calls or letters as needed to obtain necessary insurance or other related information, prior to an account being placed in self-pay.Obtain proper verification of predefined patient demographic information and maintain documentation in order to verify identity.Technology – Embraces technological solutions to work processes and practices.Uses the API payroll system to enter time worked, sick days, vacations and holidays.Uses Epic to access and run reports.Uses Microsoft Outlook as a communication tool.Access provider web sites for verification of accounts.Safety Awareness – Fosters a “Culture of Safety” through personal ownership and commitment to a safe environment.Successfully answers safety questions in the annual mandatory education packet.Maintains a neat, organized work environment.Adheres to respiratory etiquette guidelines.Other duties as required.Attends and participates in staff meetings, in-service meetings and other activities as related to job performance.Attend seminars, workshops and training sessions offered by providers.Job Requirements:Minimum Education High school graduate or above preferred.Minimum Work Experience2 years of hospital and/or physicians billing required.Additional Skills, Knowledge, and Abilities:Excel, Word and windows-based computer skills are requiredStrong analytical skills needed to meet assigned objectivesWorking knowledge of standardized health care CPT, HCPC and ICD9 codingCompetenciesDoes this employee provide any patient care related services Yes _____ No __X__Organizational Competencies Service The extent to which an employee demonstrates an understanding of the organizational and department’s service standards and strives to achieve them, treats patients and families with dignity, compassion and respect at all times, and demonstrates courtesy in interactions with members of all departments and disciplines within the Hospital.Teamwork The extent to which an employee acts as a cohesive member of a work team and demonstrates appropriate interactions with all Hospital service providers.Communication Fosters an environment that nurtures collaboration, teamwork and mutual respect through effective communication, and demonstrates positive communication skills evidenced by effective working relationship.Respect For Others Takes actions that indicates a consideration for others and awareness of the impact of one’s behavior on others, demonstrates respect for diverse backgrounds of all patients, families, and co-workers, and seeks accommodations.Time and Priority ManagementOptimizes use of time by efficiently using resources to identify barriers and balance priorities. Efficiently utilizes tools, resources, techniques and/or systems to organize tasks. Balances multiple priorities simultaneously, assuring the timely and accurate completion of each task, while maintaining quality standards.Quality Awareness/Performance ImprovementThe extent to which an employee demonstrates an understanding of their role in maintaining a commitment to quality. Quality is the consistent provision of safe, effective and satisfying care and services.Safety Awareness Fosters a “Culture of Safety” through personal ownership and commitment to a safe environment. (Department and/or individual performance standards may also be addressed in essential functions of position.)
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Taunton, MA 02780
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Taunton, MA 02780
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Full Time
3/25/2025
Taunton, MA 02780
(18.5 miles)
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Full Time
3/25/2025
Taunton, MA 02780
(18.5 miles)
Overview: *** $20K BONUS ***Coverage Area: Taunton, Raynham, BridgewaterShift: Full-Time, 32-hour positionSalary: $90,000-$120,000This position is paid on a per-visit basis. The compensation reflected on this posting, is an estimate of annual compensation.#AC-PTOffer Based on Years of ExperienceFind Your Passion and Purpose as a Home Health Physical TherapistReimagine Your Career in Home HealthAs a medical professional, you know that what you do impacts you as much as your patients and their families, and at AccentCare, we are united in our relentless drive to reimagine care because we want to provide the service we would seek for our own families. We think it’s really special to be a part of our patient’s health journey and create incredible memories while providing world-class patient care. What You Need to Know: Our Investment in YouWe are committed to offering comprehensive benefits and rewards to full-time employees who work over 30 hours per week and their families, including: Medical, dental, and vision coverage Paid time off and paid holidays Professional development Company-matching 401(k) Flexible spending and health savings accounts Company store credit for your first AccentCare-branded scrubs for patient-facing employees Qualifications: Be the Best Home Health Physical Therapist You Can BeIf you meet these qualifications, we want to meet you!Minimum nine months experience as a physical therapistPreferred community/home health experienceRequired Certifications and Licensures:Master’s degree in physical therapy approved by CAPTE accredited physical therapist education programCurrently licensed to practice as a physical therapist within the state of agency operation and compliant with accepted professional standards and practicesMust possess and maintain valid CPR certification while employed in a clinical roleMust be a licensed driver who can travel to all business locationsCome As You AreAt AccentCare, our care is most compassionate when we empathize and engage with everyone, and we are at our best when we value diverse perspectives, foster open dialogue, and enact change. And we are stronger when each of us is empowered to grow, be our unique selves, and feel a sense of inclusion and belonging.AccentCare is proud of how we are building a culture and inclusive infrastructure to help elevate the voice of all our employees with a special focus on the underrepresented and marginalized. We offer equal employment opportunities regardless of a person’s race, ethnicity, sex, sexual orientation, gender identity or expression, religion, national origin, color, creed, age, mental disability, physical disability, or any other protected classification. Posted Salary Range: USD $90,000.00 - USD $120,000.00 /Yr.
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