Billing Specialist II

Foxborough, MA
Full Time
Finance Department
Mid Level

About KDC

At KDC we are on a mission to empower and support all people to meet their full potential in a world where every individual and family thrives, no matter the circumstances.

About this role:

The Billing Specialist II provides medical billing support to the Third-Party Billing Department. This position gathers and enters demographic and insurance information, accurately enters charges and adjustments, responds to inquiries, and handles designated collection and claims processing tasks.

***This role is expected to be in person***

Schedule: Monday through Friday, 8 am - 4 pm

We are looking for people who have:

  • Medical Billing knowledge or formal billing education strongly preferred
  • Previous customer service experience, medical billing, or patient accounts experience strongly preferred
  • High School graduate or equivalent
  • Required Skills:
    • Strong written and verbal communication skills
    • Intermediate Microsoft Word and Excel skills
    • Demonstrated problem solver
    • Ability to calmly and competently explain complex medical billing issues to insurance companies

In this role, you will get to:

  • Client Insurance Eligibility Verification
  • Identify and differentiate insurance carriers
  • Enter client demographics into the Thom Biller System
  • Complete charge entries from weekly billing logs for the Agency programs
  • Analyze and correct billing reports/keying errors
  • Match weekly activity journal reports
  • Enter Monthly Discharges
  • Perform basic billing tasks
  • Work claim aging reports and denials to assure proper adjudication; including requesting referrals for Medicaid claims, and medical record documentation
  • Coordinate claim process by performing Cash Posting and Claim Submission
  • Perform other professional duties as requested.
KDC values a diverse workforce. We are committed to a culture of equality and inclusivity that fosters dialog, innovation, compassion, respect, and collaboration. All qualified applicants will receive consideration for employment regardless of race, ethnicity, age, religion, national origin, sex, sexual orientation, gender identity, veteran status, disability status, neurodiversity, or any other protected characteristic outlined by federal, state, or local laws. Your uniqueness drives our excellence!

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