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Third party biller

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South Shore Health

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Location:
United States , Weymouth

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Category:
Finance

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Contract Type:
Not provided

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Salary:

20.30 - 27.32 USD / Hour
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Job Description:

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 insurance’s to complete the revenue cycle

Job Responsibility:

  • 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
  • Evaluate daily claim file using online claim editing software for submission of UB92 and 1500 claim forms
  • Initiate collection of aged accounts receivable through an automated collector work lists
  • Generate reports as needed for collection of aged accounts receivable
  • 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

Requirements:

  • 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
  • Ability to decipher reimbursement schemes for assigned insurance’s to complete the revenue cycle
  • Uses the API payroll system to enter time worked, sick days, vacations and holidays
  • Uses Meditech to access and run reports
  • Uses Lotus Notes as a communication tool
  • Access provider web sites for verification of accounts
  • Successfully answers safety questions in the annual mandatory education packet
  • Maintains a neat, organized work environment
  • Adheres to respiratory etiquette guidelines

Additional Information:

Job Posted:
February 20, 2026

Expiration:
July 29, 2026

Employment Type:
Fulltime
Work Type:
Hybrid work
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