Full Time Medical Billing Representative

Company: Edward M. Kennedy Community Health Center
Location: Worcester, MA
Salary: $15-20.00 per hour – Based on experience

Job Summary:
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.
Essential Functions:
 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
(508) 532-7323
650 Lincoln Street
Worcester, MA 01605