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Medicaid billing specialist
Ref No.: 18-01192
Location: Framingham, Massachusetts
Start Date / End Date: 07/31/2018 to 10/31/2018
Title                          :     Customer Service Rep II -
Work Location       :    Framingham, MA 01702
Work Hours            :    8:30 am - 5:00 PM
Duration                  :    3 months with possible extension
Experience: 2-5 years of experience in position or specialization.
Education: High-school/Associates or equivalent experience if applicable. 

Job Description summary

Directs telephone contacts or written inquiries to appropriate personnel. Answers non-technical questions regarding company products. 
Maintains log of incoming "hotline" contacts. Performs, as a skilled worker, a number of Contact Center tasks. 
Determines, based upon professional knowledge, HOW best to approach the task and how to solve abnormalities. 
Analyses abnormalities that occur within own working area and reasons, based upon professional knowledge and insights, where the cause lies and remedies it. 
Completes work with a limited degree of supervision. 

Job Utilize monthly aging accounts receivable reports to follow up on unpaid claims aged over 30 days, filing appeals when appropriate to obtain maximum reimbursement and establish and maintain strong relationships with all stakeholders. 

Required Skills & Qualifications: 
  • Education Requirements: High School Diploma, or equivalent. Associates Degree in Medical Billing and Coding or Accounting, preferred. Two years of experience in lieu of education may also be considered.
  • Years of Experience/Training: Minimum of 2- 5 years of experience in medical billing, preferably with Medicaid and Managed Care reimbursement
  • Computer experience is essential.
  • Must be technically savvy and comfortable using software, including, but not limited to: billing software, MS Office, Insurance Portals, and Electronic Claims Submissions. High aptitude to learn new programs, system integrations, and business processes. 
  • Experience in CPT and ICD-10 coding; familiarity with medical terminology. 
  • Excellent customer service skills. 
  • Strong written and verbal communication skills.