Sr. Billing Specialist Brown University Health - 3.6 Providence, RI Job Details Full-time $22.04 - $36.37 an hour 1 hour ago Qualifications Medical office experience Medical claims submission Medical terminology

Full Job Description Job ID:

JR-114010

Entity:

Brown Health Medical Group Location Name:

Brown Health Medical Group City, State:

Providence, RI Work Type:

FULL TIME

Hours Per Week:

40

Shift:

Day Posted Date:

9/17/2026 SUMMARY Under general supervision of the Office Manager, the Sr Billing Specialist performs related clerical duties including review and verification of patient account information against insurance program specifications and coding review. Researches and investigates high dollar claims and denials from third party payers and resolves patient/client billing inquiries. Follows up on balances due from insurance companies and analyzes surgical procedure authorizations involving

ICD-10 & CPT

codes. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers, and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done.

The core Success Factors include:

Instill Trust and Value Differences Patient and Community Focus and Collaborate

RESPONSIBILITIES

Performs patient insurance billing duties such as researching claims in system, including review and verification of patient account information against insurance program specifications. Recognizes and identifies source of entry in complex multi-facility organization. Follows up on payer claims denials to ensure proper re-processing of rejected claims, when appropriate. Analyzes and resolves problems with coding of surgical procedures and diagnosis using

ICD-10, CPT

coding. Reviews reports, records and/or bills that were prepared or assembled by others in order to ensure that information is correct. Contacts other departments or personnel as necessary to resolve errors and omissions. Obtains patient registration information. Courteously and accurately completes patient registration. Confers with representatives of third-party payers to resolve billing issues and to discuss changes in regulations/policies affecting billing system. May download bills from system to assist with disputed claims. Responds to patient billing inquiries in a timely, courteous manner. Keeps current with billing guidelines. Performs other related duties as assigned.

MINIMUM QUALIFICATIONS BASIC KNOWLEDGE

High school level of knowledge or equivalent. Experience with CPT4, ICD-9/10, HCPCS, coding guidelines as well as reimbursement policies and procedures.

EXPERIENCE

4+ years' experience in a fast-paced medical office or billing service environment; familiar with aspects of third-party billing. Experience must demonstrate thorough knowledge of medical billing and claims processing, effective customer service experience, medical and procedure coding, medical terminology, knowledge of personal computers and critical thinking. Experience should represent familiarity with coding principles of

CPT, ICD-10

coding and related terminology for hospital billing. Analytical ability to research and resolve billing problems and to analyze billing activity.

WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS

Work is performed in a physician office practice billing environment.

INDEPENDENT ACTION

Incumbent follows general office procedures and policies. Complexities are referred to Patient Financial Services.

SUPERVISORY RESPONSIBILITY

None.

PAY RANGE

$22.04-$36.37 LOCATION Brown Health Medical Group - 167 Point Street Providence, Rhode Island 02903 WORK

TYPE M-F 8

00am-5:00pm

WORK SHIFT

Day

DAILY HOURS 8

hours

DRIVING REQUIRED

No Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.