| Location | Cumberland, RI |
| Salary | $22–$30 |
Job Summary
Medical Billing Specialist
The Sisters of Mercy of the Americas
Part-time
In-Office | Cumberland , RI, United States
The Sister Medical Billing Specialist works collaboratively with the Director, Sister Health Insurance & Benefits, in maintaining all community sponsored health insurance programs and billing processes for members of the Sisters of Mercy throughout the entire Institute, or as assigned. The Medical Billing Specialist shall also be responsible for updating and maintaining the health benefits database at the respective location.
Responsibilities
Process medical claims accurately and submit timely to insurance payers.
Monitor and follow up on aging receivables to optimize cash flow.
Maintain compliance with HIPAA and payer-specific guidelines.
Verify patient eligibility and benefits prior to claim submission.
Resolve claim denials through root-cause analysis and resubmission.
Generate regular performance metrics and pipeline reports for stakeholders.
Perform coding reviews to ensure compliant and precise billing.
Maintain accurate patient and insurance data in the billing system.
Collaborate with clinical and administrative teams to resolve billing issues.
Identify process improvements to increase billing accuracy and efficiency.
Provide patient-friendly explanations for billing questions and concerns.
Support on-site training and mentorship for junior billing staff.
Experience/Qualifications
Experience with medical claim submission and payer follow-ups
HIPAA compliance and patient data privacy knowledge
Eligibility verification and benefits investigation
Denial management with root-cause analysis
Coding review and accuracy in medical billing
Maintain and update patient/insurance data in billing system
Pipeline and performance metric reporting for stakeholders
Interdepartmental collaboration with clinical and admin teams
Process improvement identification for billing efficiency
On-site training and mentorship of junior billing staff
What's in it for you? (Salary, Commissions & Benefits)
On-site position based in Cumberland, RI — collaborate face-to-face with your team in our local office
Competitive base salary as the primary compensation component
#SMA123