Our client, in Norwood, MA is looking for a Medical Billing Specialist, or Insurance Recovery Analysts (IRA), with experience in General Liability Claims, Workman's Compensation & Motor Vehicle.

Hybrid work - This position is open to remote work once the person is trained onsite for 4 weeks, but you must live in the local area to our Norwood office.

Pay: $22 - $24/hr - Full-time

Hours: 8:30am - 5pm (M-F)

ESSENTIAL FUNCTIONS:

* Investigates, negotiates, bills and follows-up for payment regarding first and third-party claims involving any and all coverages, liability, and legal issues.

* Identifies viable payers, obtains IBs, UBs, HCFAs, correspondence, and medical records when necessary.

* Maintains the highest level of privacy in accordance with HIPAA requirements and laws.

* Works their inventory by route while maintaining an acceptable level of aged accounts receivable.

* Contacts patients, payers, hospitals, attorneys, employers, and any other parties involved to collect the necessary information and ensure reimbursement for our client.

* Recovers maximum dollars for the hospital through coordination of benefits in a timely manner.

* Appeals claims when applicable.

* Meets monthly company, team, and individual goals, and all deadlines set by the Team Lead and Manager, Operations.

* Completes special projects, as requested.

QUALIFICATIONS:

* Minimum of four (4) years of directly related industry experience.

* Emdeon/ChangeHealthcare billing experience is a plus.

* EPIC, CERNER and/or MEDITECH experience is a plus.

* Experience working claims in multiple states is a plus.

* Strong technical knowledge in one or more areas of commercial insurance, government insurance, workman's compensation, motor vehicle liability, general liability and claims processing systems.

* Knowledge of medical and insurance terminology.

* Knowledge of coordination of benefits.

* Working knowledge of FACS (ClaimAssist's host system) or comparable management software system.

* Ability to speak confidently over the phone.

All qualified applicants will receive consideration for employment without regard to race, color, national origin, age, ancestry, religion, sex, sexual orientation, gender identity, gender expression, marital status, disability, medical condition, genetic information, pregnancy, or military or veteran status. We consider all qualified applicants, including those with criminal histories, in a manner consistent with state and local laws, including the California Fair Chance Act, City of Los Angeles' Fair Chance Initiative for Hiring Ordinance, and Los Angeles County Fair Chance Ordinance. For unincorporated Los Angeles county, to the extent our customers require a background check for certain positions, the Company faces a significant risk to its business operations and business reputation unless a review of criminal history is conducted for those specific job positions.