Medical Claims Representative- Self Pay

Atrius Health, an innovative healthcare leader, delivers an effective system of connected care for more than 690,000 adult and pediatric patients at 30 medical practice locations in eastern Massachusetts. Atrius Health’s 645 physicians and primary care providers, along with 420 additional clinicians, work in close collaboration with hospital partners, community specialists and skilled nursing facilities. Our vision is to transform care to improve lives. Atrius Health provides high-quality, patient-centered, coordinated, cost effective care to every patient we serve. By establishing a solid foundation of shared decision making, understanding and trust with each of its patients, Atrius Health enhances their health and enriches their lives. Atrius Health is part of Optum, a health services company focused on building the leading value-based care system in the country.

SUMMARY

This position is looking for a Medical Claims Representative to join the Self Pay team at our Chelmsford location with a schedule of 9:30a 6:00p Monday- Friday. This position offers a hybrid schedule (three days in office and two days remote) after completing 6 months of training. This position offers great benefits, endless opportunity of growth, and a generous sign on bonus.

Under general supervision, is responsible for timely and accurate follow up and resolution of all unpaid patient balances. Responds to a high volume of patient calls generated from self-pay statements, analyzes self-pay balances to determine patient responsibility, obtains and enters accurate insurance information, submits services to the insurance carrier, establishes payment plans, processes patient payments, researches all returned mail and prepares non-collectible accounts for the collection agency. Typically reports to Patient Billing Supervisor.

EXPERIENCE/ SKILL

• Experience typically gained through 2-3 years experience working with third party billing practices, (experience with physician’s billing preferred) required.
• Proven knowledge of ICD-9, CPT-4 and HCPCS coding required.
• Outstanding customer service and excellent communication skills are necessary to interact with third party agents and patients both verbally and in writing required.
• Knowledge and experience with medical terminology, strong computer skills, attention to detail and problem-solving skills are required.

EDUCATION/LICENSES/CERTIFICATIONS

• High School diploma or equivalency certificate (e.g. GED, HiSET, TASC Test) from an accredited institution or governmental unit required.

Atrius Health is committed to a policy of non-discrimination and equal employment opportunity. All patients, employees, applicants, and other constituents of Atrius Health will be treated with respect and dignity regardless of race, national origin, gender, age, religion, disability, veteran status, marital/domestic partner status, parental status, sexual orientation and gender identity and/or expression, or other dimensions of diversity.

Benefits Include:·

• Up to 8% company retirement contribution·
• Generous Paid Time Off ·
• 10 paid holidays·
• Paid professional development·
• Generous health and welfare benefit package

Job Type: Full-time

Pay: $48,000.00 - $62,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Experience:

• Medical Billing: 2 years (Required)
• ICD coding: 1 year (Required)

Ability to Relocate:

• Chelmsford, MA: Relocate before starting work (Required)

Work Location: In person