Pulmonary Billing Representative

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Location: Fall River, MA
Category: Health Care

Prima CARE, P.C. is looking to hire a Pulmonary Billing Representative at its Fall River, MA site. Primary responsibilities will include:

Description:
Positon                      Pulmonary Billing Representative     
Location                    Fall River, MA             
Job Type                    Full-Time (40 Hours – Monday – Friday)   
Job Description:
Prima CARE P.C., a large multispecialty medical group, is offering an excellent opportunity for an experienced Pulmonary Billing Representative.  This individual would be joining a skilled team managing billing for five Physicians and 2 Nurse Practitioner.

Job Duties:

• Reviewing and verifying information necessary for insurance claims such as patient insurance information, address, phone number etc.
• Responsible for all office, hospital and nursing home billing
• Responsible for reviewing all progress notes and making sure the correct CPT & ICD-10 code was used
• Reviewing the billing for modifiers
• Communicating with physicians to lock progress notes
• Reviewing and researching all insurance denials
• Communication closely with office manager on all billing issues
• Responsible for tracking all outstanding open encounters and communicating with physicians to finish their progress notes
• Completing miscellaneous job duties for office manager
• Follow HIPPA guidelines in handling patient information

Benefits for our Permanent Placements Include:
Medical, Dental, Vision and Life Insurance.  401K/ROTH and Safe Harbor Plans.  Paid Time Off.

About PrimaCARE, P.C.:
Prima Care, P.C. was founded in 1996 and is a large, multi – specialty medical group serving southeastern New England.  With over 150 providers, including primary care physicians and a broad range of specialists, we offer quality health care, a diversity of services and treatments, convenient and friendly service, and state –of-the-art testing facilities to support your diagnosis and treatments.

In addition to our main Fall River campus and walk-in Center, Prima Care has medical offices and Walk In centers in Somerset, Westport, and Dartmouth, as well as satellite offices in Tiverton, Rhode Island.  We also provide care in patient’s homes, nursing homes and hospitals and two Outpatient Physical Therapy clinics located in Fall River and Somerset, MA.

We live and work by the golden rule and our company values that include integrity, respect, professionalism, ethical behavior and partnership. 

Requirements and Skills:

• Familiarity with eclinical works is a plus
• The representative will need to stay current with insurance policy changes. CPC certification would be desirable and have 2 years of experience
• Must be able to work independently and in a fast paced environment
• Must be dependable, reliable and able to pass a Cori check
• Must be able to multi task, problem solve and identify issues
• Willingness to work as part of a coordinated team
• Salary will be determined by the candidate’s skill level and experience
• Other duties including running reports and answering phones as needed