Under general supervision of the Follow-up Supervisor, performs duties necessary to follow up on outstanding claims and correct denied claims for a large physician multi-specialty practice.
Brown University Health expects employees to model the organization's values of Compassion, Accountability, Respect, and Excellence, along with core success factors focused on trust, collaboration, patient and community focus, and valuing differences.
Key responsibilities include reviewing denied claims, correcting them in the system, and sending corrected appealed claims via written correspondence, fax, or electronic submission. The role involves identifying denial trends, maintaining payer knowledge, ensuring HIPAA compliance, contacting internal departments for missing or erroneous claim information, retrieving medical records documentation, and escalating unresolved accounts to a supervisor. The position also supports process improvement, accuracy, efficiency, and department goals while maintaining quality assurance, safety, environmental, and infection control standards.
Equivalent to a high school diploma.
Knowledge of third-party billing, including ICD, CPT, HCPCS, and 1500 claim forms.
One to three years of relevant experience in professional billing preferred.
Experience with Epic is a plus.
Strong critical thinking, diplomacy, relationship-building, communication, problem-solving, and inductive reasoning skills.
Ability to work effectively with a wide variety of people in both individual and team settings.
Location
Rhode Island, US
Employment Type
Full-time
Experience Level
Associate
Remote work allowed
No
Posted
1 week ago