Medical Billing Specialist

About us

Alico Healthcare operates in the Healthcare and Medical Receivables Management space and is based in Boston, Massachusetts. As a premier business process outsourcing (BPO) company, we are dedicated to improving healthcare by partnering with medical service providers and healthcare organizations all across the country.

Job Description

Position Summary:​
The Medical Billing Specialist will report to the Healthcare Revenue Cycle Manager and will handle all functions related to collection of necessary claim documentation, claim submission, collections, and follow through on outstanding claims and cash applications; all actions relating to delinquent accounts, special adjustments, and/or write offs.

Job Responsibilities:

Billing and Posting:

• Bill and post-revenue payments/charges to insurance payors.
• Review and audit patient bills for accuracy and completeness; obtain any incomplete or missing billing information.
• Prepare, review, and transmit claims using automated systems and manual paper claim processes.

Authorization and Eligibility Verification:

• Obtain and track authorizations as appropriate.
• Ensure verification of eligibility and payor benefits.

Claim Management:

• Follow up on unpaid claims within the specified billing cycle timeframe.
• Validate insurance payments for accuracy and compliance based on contractual terms.
• Evaluate and investigate payor matters for any discrepancy in payments as necessary.
• Follow-up on payor-specific appeals and denial of claims.

Insurance Guidelines Knowledge:

• Possess knowledge of insurance guidelines, including HMO, PPO, Medicare, and state Medicaid.

Secondary Payors and Payments:

• Identify and bill secondary payors.
• Update cash spreadsheet, generate collection reports, and ensure compliant collection efforts interpreting the explanation for benefits (EOB).

Communication:

• Respond to all patient or insurance telephone inquiries to ensure timely reimbursement.
• Follow-up on all accounts with payor or patient to resolve any discrepancies or obtain necessary information.

Miscellaneous:

• Perform other duties as assigned.

Required Skills and Knowledge:

• Strong organizational skills.
• Attention to detail and accuracy.
• Knowledge of Medical Billing processes and insurance guidelines.
• Strong communication skills.

Job Type: Part-time

Experience:

• Medical Billing: 1 year (Preferred)

Education:

• High school or equivalent (Preferred)

Location:

• Massachusetts (Only)

Work Location:

• Remote

Hours per week:

• 25 Hours Per Week

Schedule:

• Monday to Friday 9:00 A.M - 5:00 P.M ET

Requirements
Qualifications:

• 1+ years of Medical Billing experience preferred
• High school diploma or equivalent
• Experience billing professional and physicians’ charges to insurance companies
• Experience reading electronic claim files
• Knowledge and competency to use medical claims clearinghouse system
• Possess strong organizational and follow up skills.
• Proficient with Microsoft Office products (Excel and Word)
• Familiarity with HCFA 1500 & UB-04

Job Types: Part-time, Temporary

Pay: $18.00 - $20.00 per hour

Expected hours: 24 per week

Benefits:

• Paid time off

Schedule:

• Monday to Friday

Work setting:

• Remote

Application Question(s):

• Candidates from Massachusetts only.

Education:

• High school or equivalent (Preferred)

Experience:

• Medical billing: 2 years (Required)

Location:

• Massachusetts (Required)

Work Location: Remote