Data20entry20from20home Jobs, Employment in Randolph,MA Now Hiring September 2026

Candidates must reside in MA, RI, CT or NH to be considered
Position is based in Weymouth, MA
Knowledge of healthcare billing, insurance plans, codes, and reimbursement methodologies
Proficiency in data entry and basic computer skills, including Microsoft Office Suite
Excellent organizational and multitasking skills
Strong interpersonal and communication skills
Strong analytical and independent decision-making skills
Minimum Education High school graduate or above
Minimum Work Experience 2 years of hospital and/or physicians billing preferred
Hybrid or remote work options may be available
Notifies manager of any changes that would affect claim submission
Maintain compliance with federal, state, payer, and organizational billing regulations
Monitor payer policy updates and communicate changes that may impact billing, collections, denials, or reimbursement processes
Evaluates daily claim file using Claim Edit and Charge Review Work queues for submission of UB-04 and 1500 claim forms
Initiate claim corrections as defined payer regulation and hospital policy
Works external claim edits from Clearinghouse and resubmits claims through EPIC
Initiate collection of aged accounts receivable through Epic work queues while prioritizing accounts based on organizational goals and aging criteria
Unresolved and incomplete accounts require insurance company contact by phone, e-mail or designated web site to resolve outstanding balances
Collaborate with denial management staff for accounts that require clinical intervention for an appeal process
Collaborate with clinical departments, patient access and other departments as needed to resolve account issues
Generate technical appeals as needed for account resolution
Provide to manager a detail account history for any account that is considered uncollectable
Document all actions taken within the EPIC account notes section and/or follow up/denial activities note section
Documentation is required at least every 30 days for all accounts requiring follow-up
Escalates payer related issues to Provider Representative for resolution and participate in monthly meetings
Must maintain defined quality and productivity measures
Evaluate current processes, identify denial or payment trends and escalate to Management
Handle payer 277 rejections and resubmit through EPIC system
Reconcile account balances and ensure appropriate adjustments are applied according to established policies
Review credits work queues for resolution of overpayments and undistributed payments
Review credit balances in assigned work queues and request refunds or payer retraction as needed
Communicate with patients as needed for additional insurance or other information needed in order to process a claim
Generate phone calls or letters as needed to obtain necessary insurance or other related information, prior to an account being placed in self-pay
Obtain proper verification of predefined patient demographic information and maintain documentation in order to verify identity
Embraces technological solutions to work processes and practices
Uses the Mytime payroll system to enter time worked, sick days, vacations and holidays
Uses Epic functionality
Uses MS Outlook as a communication tool
Access provider web sites for verification of accounts
Access SharePoint and OneDrive for stored files
Fosters a “Culture of Safety” through personal ownership and commitment to a safe environment
Successfully answers safety questions in the annual mandatory education packet
Maintains a neat, organized work environment
Adheres to respiratory etiquette guidelines
Assist with identifying workflow improvements to enhance operational efficiency
Assist leadership with special projects, audits, and process improvement initiatives
Other duties as assigned by Management in accordance with department needs
Participates in continued learning and possess a willingness and ability to learn and utilize new technology and procedures that continue to develop in their role and throughout the organization
Embraces technological advances that allow us to communicate information effectively and efficiently based on role
Complete necessary training sessions required for the Billing System and assigned accounts within Follow Up and Denial work queues