Medical Claims Representative

Explore opportunities at Atrius Health, part of the Optum family of businesses. We’re an innovative healthcare leader, delivering an effective system of connected care for adult and pediatric patients at 28 practice locations in eastern Massachusetts. Our team of physicians, primary care providers and clinicians work with hospitals, community specialists and nursing facilities. Be part of our vision to transform care and improve lives by building trust, understanding and shared decision-making with every patient. Join us and discover the meaning behind Caring. Connecting. Growing together.

SUMMARY

This position is looking for a Medical Claims Representative to join the Self Pay team at our Chelmsford location with a schedule of 8\:00a- 4\:30p Monday- Friday. This position has a hybrid schedule option (three days in office and two days remote) after completing training and pending manager approval. This position offers great benefits, endless opportunity of growth, and a generous new hire bonus.

Under general supervision, is responsible for timely and accurate follow up and resolution of all unpaid patient balances.  Responds to a high volume of patient calls generated from self-pay statements, analyzes self-pay balances to determine patient responsibility, obtains and enters accurate insurance information, submitsservices to the insurance carrier, establishes payment plans, processes patient payments, researches all returned mail and prepares non-collectible accounts for the collection agency. Typically reports to Patient Billing Supervisor.

EDUCATION/LICENSES/CERTIFICATIONS

• High School diploma or equivalency certificate (e.g. GED, HiSET, TASC Test) from an accredited institution or governmental unit required.

EXPERIENCE

• Experience typically gained through 2-3 years experience working with third party billing practices, (experience with physician’s billing preferred) required.

SKILLS

• Proven knowledge of ICD-9, CPT-4 and HCPCS coding required.
• Outstanding customer service and excellent communication skills are necessary to interact with third party agents and patients both verbally and in writing required.
• Knowledge and experience with medical terminology, strong computer skills, attention to detail and problem-solving skills are required.
• The ability to work in a fast paced environment and flexibility in adapting to changes in policies, regulations and procedures are essential.

Benefits Include\:

·        Up to 8% company retirement contribution,

·        Generous Paid Time Off

·        10 paid holidays,

·        Paid professional development,

·        Generous health and welfare benefit package.

Atrius Health is committed to a policy of non-discrimination and equal employment opportunity. Applicants will receive consideration for employment without regard to race, national origin, gender, age, color, sex, religion, disability, veteran status,  sexual orientation and gender identity and/or expression, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

#IND1

Explore opportunities at Atrius Health, part of the Optum family of businesses. We’re an innovative healthcare leader, delivering an effective system of connected care for adult and pediatric patients at 28 practice locations in eastern Massachusetts. Our team of physicians, primary care providers and clinicians work with hospitals, community specialists and nursing facilities. Be part of our vision to transform care and improve lives by building trust, understanding and shared decision-making with every patient. Join us and discover the meaning behind Caring. Connecting. Growing together.

SUMMARY

This position is looking for a Medical Claims Representative to join the Self Pay team at our Chelmsford location with a schedule of 8\:00a- 4\:30p Monday- Friday. This position has a hybrid schedule option (three days in office and two days remote) after completing training and pending manager approval. This position offers great benefits, endless opportunity of growth, and a generous new hire bonus.

Under general supervision, is responsible for timely and accurate follow up and resolution of all unpaid patient balances.  Responds to a high volume of patient calls generated from self-pay statements, analyzes self-pay balances to determine patient responsibility, obtains and enters accurate insurance information, submitsservices to the insurance carrier, establishes payment plans, processes patient payments, researches all returned mail and prepares non-collectible accounts for the collection agency. Typically reports to Patient Billing Supervisor.

EDUCATION/LICENSES/CERTIFICATIONS

• High School diploma or equivalency certificate (e.g. GED, HiSET, TASC Test) from an accredited institution or governmental unit required.

EXPERIENCE

• Experience typically gained through 2-3 years experience working with third party billing practices, (experience with physician’s billing preferred) required.

SKILLS

• Proven knowledge of ICD-9, CPT-4 and HCPCS coding required.
• Outstanding customer service and excellent communication skills are necessary to interact with third party agents and patients both verbally and in writing required.
• Knowledge and experience with medical terminology, strong computer skills, attention to detail and problem-solving skills are required.
• The ability to work in a fast paced environment and flexibility in adapting to changes in policies, regulations and procedures are essential.

Benefits Include\:

·        Up to 8% company retirement contribution,

·        Generous Paid Time Off

·        10 paid holidays,

·        Paid professional development,

·        Generous health and welfare benefit package.

Atrius Health is committed to a policy of non-discrimination and equal employment opportunity. Applicants will receive consideration for employment without regard to race, national origin, gender, age, color, sex, religion, disability, veteran status,  sexual orientation and gender identity and/or expression, or any other characteristic protected by local, state, or federal laws, rules, or regulations.

#IND1