The Patient Billing Specialist is responsible for managing patient billing and accounts receivable activities using the Athena EHR (athenahealth) system. This role ensures accurate and timely claim submission, payment posting, and follow-up to support efficient revenue cycle operations. The position works closely with internal teams, insurance carriers, and patients to resolve billing issues while maintaining compliance with payer guidelines and organizational standards.
Responsibilities include managing payer accounts receivable, submitting and following up on insurance claims, verifying patient demographics and insurance eligibility, processing claims and payments, resolving billing discrepancies, managing Workers’ Compensation accounts as applicable, and maintaining documentation within Athena EHR. The role requires collaboration with front desk, clinical, and coding staff and adherence to HIPAA and payer compliance.
The position operates office-based Monday to Friday with standard business hours from either 7:30 AM - 4:00 PM or 8:00 AM - 4:30 PM, in a fast-paced healthcare environment involving frequent communication with patients, insurance companies, and healthcare staff.
Strong understanding of medical billing terminology including CPT, ICD-10, and HCPCS. Working knowledge of Medicare, Medicaid, and commercial insurance plans. High attention to detail with strong organizational and multitasking skills. Ability to analyze billing issues and resolve discrepancies. Experience with Workers’ Compensation billing preferred. Prior experience with Athena EHR billing modules preferred. Knowledge of HIPAA and healthcare compliance regulations required. Ability to perform sedentary office work with frequent use of computer and occasional lifting of up to 10-15 pounds.
Location
Massachusetts, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
2 weeks ago