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Job Title Claims & Collection Specialist*
Location Somerville, MA*
*Position is based out of Somerville, MA
Department Billing
FLSA Status Non-Exempt
Shifts hiring Full-time

Claims & Collection Specialist 

Full-time, Monday through Friday 8:30 A.M. – 5:00 P.M. Non-Exempt
Required Skills:

• Working knowledge of Microsoft Office, including Excel, Word is a must
• Strong communication, problem solving and analytical skills required
• Extensive working knowledge of Personal Injury Protection (PIP) and proper adjudication of medical claims
• Acute attention to detail and the ability to work in a fast-paced, team-oriented environment with a focus on communication required
• Outstanding customer service and phone skills
• Previous collections or customer service experience a plus
• Knowledge of HIPPA and healthcare policies a plus
• High School diploma or GED required
• Fluent in Spanish a plus, but not required
• Must be positive and maintain professional demeanor at all times
• Familiarity with Medicaid and Medicare guidelines
• Ambulance billing experience a plus

Job Summary:

The Claims and Collection Specialist is responsible for collections of outstanding private invoices from the existing client base, resolving customer billing problems and reducing accounts receivable delinquency. This position will report to the Credit & Collections Manager. Duties of this position include, but are not limited to:

  • Make outgoing and receive incoming calls for A/R follow-up regarding denied or rejected claims for assigned payers
  • Submit written and electronic appeals to insurance carriers and obtain timely status updates
  • Resolve insurance related billing issues with patients and/or insurance carriers

The above are intended to describe the general nature and level of the work being performed by the person/people in this position.  This is not an exhaustive list of all duties, responsibilities, knowledge, skills, and abilities associated with this position.

Cataldo Ambulance is an Equal Opportunity / Affirmative Action Employer

All qualified applicants will receive consideration for employment without regard to disability, race, color, veteran status, religion, sex, or national origin.  Individuals with Disabilities and Veterans are encouraged to apply.

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