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Medical Billing & Reimbursement Specialist

8025 · 30+ days ago
Derry, NH, 03038, US
Negotiable
Full-time
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Fulfill your purpose at CLM: https://www.youtube.com/channel/UC8bCS3JufXrPyr7SgiLrusQ

Center for Life Management (CLM) provides the area's most comprehensive array of outpatient mental healthcare. We offer innovative and evidence-based services that enhance the health and well-being of individuals and families. We partner with local and state-wide organizations to achieve our mission and together build stronger communities and greater awareness for whole health and wellness.

Working as part of the Finance Department Team, the Medical Billing and Reimbursement Specialist will assist with the billing, collection and reconciliation of the agency’s receivables. This is a full time, 40 hour per week position at our Derry, NH location.

Learn more about our practice: https://www.youtube.com/channel/UC8bCS3JufXrPyr7SgiLrusQ

Major Functional Areas and Description of Duties

  • Perform billing to third party and clients for services provided;
  • Process and reconcile payments;
  • Monitor and post insurance denials; correct billing errors or process appeals, as needed;
  • Respond to client/guarantor inquiries regarding outstanding balances; establish payment plans or setup charitable care, as needed;
  • Manage the client payment portal to include insurance code mapping, documentation of system processes, procedures and protocols;
  • Work the monthly aging receivables to ensure collection of outstanding balances;
  • Monitor the unbilled service report and correct billing errors to allow for accurate billing;
  • Monitor and comply with changes in state and insurance carrier regulations and requirements to ensure accuracy of billing procedures;
  • Promotes a positive work environment and culture that fosters cooperation, teamwork, professional growth and development;
  • Engages in appropriate meetings and committees, both internally and externally, as determined by supervisor;
  • Executes all required functions in accordance with agency policies, federal and state standards;
  • Functions professionally and represent CLM in a professional and appropriate manner in all settings;
  • Performs all other duties as assigned by supervisor.

 Qualifications, Skills and Experience

  • High school diploma or equivalent required; an Associates’ Degree is preferred;
  • Minimum of two years of third-party billing experience is required;
  • Strong communication, interpersonal, and customer service skills required to interact with internal and external customers in a professional manner;
  • Strong organizational skills, ability to problem solve, multi-task, and manage competing tasks while attending to details and adhering to deadlines;
  • Ability to maintain composure and exercise sound judgment in routine, urgent, and emergent administrative tasks;
  • Proficient computer skills and knowledge of Microsoft office applications with emphasis on Word, Excel, Outlook and TEAMS;
  • Ability and desire to work as part of a team while also able to be self-directed and motivated with minimal supervision;
  • Flexibility to adapt schedule and fill in as needed;
  • Ability to acquire and effectively execute new skills as needed according to evolving department needs.

Physical Demands and Working Conditions

The work will be onsite in an office setting. Manual dexterity is needed to use computers and standard office equipment. The ability to sit for extended periods of time is required.

Benefits

At Center for Life Management we offer a robust benefits package because caring for our staff is just as important as caring for our clients. Benefits for benefits eligible employees include:

  • Comprehensive health insurance (medical, dental, vision)
  • Health Reimbursement Arrangement
  • Flexible Spending Account
  • Paid earned time (3 weeks in year one, caps at 6 weeks)
  • Paid holidays (8) with bonus birthday holiday in your birth month
  • 403(b) Retirement Savings Plan with 3% company contribution upon 1 year of employment
  • Life Insurance paid by company
  • Short and Long Term Disability paid by company
  • Accidental Death and Dismemberment Insurance paid by company
  • Employee Assistance Program (EAP), accessible to staff and their natural supports
  • Company issued cell phone and laptop as needed for role
  • Scholarship for professional advancement
  • Mileage reimbursement for applicable positions
  • On the job training and continuing education opportunities
  • Rewarding and supportive work environment with excellent opportunities for career growth
  • Meaningful relationships with your co-workers and the individuals we serve
  • Flexible work schedule
  • Teamwork, teamwork and more teamwork!

#CLMLP1

Last updated on Jan 21, 2025

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