Medical Claims & Billing Specialist

Medical Claims & Billing Specialist kinːpathic Nashua, NH 03064 $18

• $24 an hour
• Part-time $18
• $24 an hour
• Part-time Medical Claims & Billing Specialist at kin:pathic plays a crucial role in ensuring the accuracy and timeliness of invoicing and payment processes.

This role involves working closely with the Insurance and Administrative teams and requires strong teamwork and time management skills. Excellent verbal and written communication skills are essential for interacting with payors and client families.

About Kin:

Pathic Kin:

pathic prides itself in helping families navigate the dynamics of behavioral science. Our goal is to make lasting change to help children diagnosed with Autism accomplish everything they want to in life.

Description Position Title:

Medical Claims & Billing Specialist Department:

Insurance & Billing Reports To:

Insurance & Revenue Cycle Coordinator Employment Type:

Full-time or Part-time Position Overview:

The Accounts Receivable Specialist at kin:pathic plays a crucial role in ensuring the accuracy and timeliness of invoicing and payment processes. This role involves working closely with the Insurance and Administrative teams and requires strong teamwork and time management skills. Excellent verbal and written communication skills are essential for interacting with payors and client families.

Who You Are:

You are a detail-oriented, organized, and proactive individual with strong communication skills. You exhibit the company's values in your day-to-day interactions and demonstrate proficiency in financial processes.

Primary Roles and Responsibilities:

Accounts Receivable & Collections Track and manage outstanding AR balances across payers and clients Follow up on unpaid or underpaid claims with insurance companies Identify trends in denials or delays and escalate when appropriate Maintain AR aging reports and prioritize follow-ups Document payment denials and follow up appropriately. Denials & Payment Resolution Investigate and resolve claim denials, including authorization issues, coding errors, or credentialing discrepancies Prepare and submit appeals with supporting documentation Work collaboratively with clinical, intake, and credentialing teams to resolve issues

Database Management:

Manage databases relevant to client services and billing. Maintain accurate and organized records in accordance with company policies and procedures.

Invoicing:

Prepare and process invoices for a variety of clients. Verify the accuracy of invoices, including client information, billing and service codes, and insurance coverage information. Resolve any discrepancies during the invoicing process. Payment Posting & Reconciliation Accurately apply patient and district payments in billing systems Reconcile payments with Explanation of Benefits (EOBs) and remittance advice Identify discrepancies and ensure proper allocation of payments

Communication:

Communicate clearly with families regarding balances, deductibles, and patient responsibility Provide support via phone and email to answer billing-related questions Assist with payment plans or coordination of benefits when needed Communicate payors to resolve issues. Collaborate with the Administrative and Insurance teams. Prepare and submit documentation to insurance companies as needed.

Compliance:

Stay up-to-date on all company standards and federal/state standards required for the invoicing process. Reporting & Process Improvement Generate and review AR reports (aging, billing ledger, authorization utilization) Identify opportunities to improve billing workflows and reduce AR days Assist with year-end reconciliation and invoicing projects

Meetings and Training:

Attend meetings as scheduled. Participate in required company training.

Qualifications:

Bachelor's degree in a related field preferred. 3+ years of experience in billing, invoicing, accounts receivable, or a related field. Knowledge of insurance and medical services. Excellent written and verbal communication skills. Strong organizational and time management abilities. Ability to learn and understand company databases and software applications. Strong problem-solving skills. Ability to prioritize tasks and meet deadlines. Salary $18

• $24 per hour

Work Location:

In person