Company: Edward M. Kennedy Community Health Center
Location: Worcester, MA
Salary: $15-20.00 per hour – Based on experience
Follows department and payer processes to ensure all claims are submitted in a timely and accurate
manner. Analyzes and reviews outstanding accounts receivables. Prepares appeals and corrected
claims within payer guidelines for resubmission in order to maximize reimbursement.
Reviews patient eligibility utilizing practice management function or payer websites to determine
correct payer to be billed for specific dates of service.
Prepares claim data according to department and payer regulations in order to produce a “clean”
Posts charges, payments and denials in practice management system accurately.
Works denials and prepares appeals, resubmits claims and performs compliant actions to resolve open
accounts receivable. Reports unusual trends to supervisor.
Works with payer representative to research and resolve denials issues and obtain payer policy
knowledge as necessary.
Utilizes insurance and practice management online systems to complete all required tasks such as
eligibility, claim status and claim correction.
Processes insurance and patient refunds as necessary.
Answers patient and department calls.
Scans/files all relevant documentation.
Ability to work independently and as part of a team.
Education and Experience:
High school diploma or equivalent.
1-2 years of medical billing experience, medical billing certificate, or at least 30 days on-the-job at EMK
For more information, please contact:
Theresa Burke, Recruitment Coordinator
650 Lincoln Street
Worcester, MA 01605