JOB DETAILS

Medical Billing Specialist

CompanyComprehensive Community Action
LocationWarwick
Work ModeOn Site
PostedJune 2, 2026
About The Company
In December of 1965, Cranston Community Action Program (CCAP) was incorporated as a Community Action Agency under the Economic Community Act and was charged to mobilize all resources toward the elimination of poverty and to provide participation of the poor and underserved in program decisions that affected them. At that time CCAP served Cranston, Coventry, Scituate and Foster. As many of our programs grew to include additional cities and towns outside that catchment area, we decided to change our name. In September of 1994 we officially became Comprehensive Community Action, but still CCAP. CCAP’s Mission Statement is quite simple: to empower all people and communities, challenged by poverty as well as social and cultural barriers, through advocacy, education, and access to high quality health and human services. Today, CCAP serves more than 20,000 Rhode Islanders with programs in Cranston, Warwick, Coventry, Providence, Pawtucket, Scituate, and Foster. Programs include: counseling services, health centers and dental care, food, housing and fuel assistance, weatherization, family support and services, Headstart, day care, emergency assistance, education, and job training.
About the Role

Description

CCAP Mission Statement - To empower all people and communities, challenged by poverty as well as social and cultural barriers, through advocacy, education, and access to high quality health and human services.


JOB SUMMARY:

Responsible for posting all third-party insurance payments, process all denials appropriately and follow-up on all unpaid claims. Work with patients and external collections company to provide account resolution. Work with the Billing Manager to maintain A/R.


WORK SCHEDULE DEMANDS:

  • This is a full-time, 40 hours per week position.
  • Due to the nature of the job, this individual must be flexible with their schedule to accommodate the client population.

Requirements

REQUIRED QUALIFICATIONS:

  • 1-3 years of experience in third party billing
  • Medical Billing Certification, preferred
  • Must possess all basic billing knowledge and understanding of Third-Party Reimbursement.
  • Working knowledge and strategic understanding of medical billing and reimbursement principles, procedures, and documentation
  • Knowledge of physician referral protocols and conventions
  • Must be able to use a computer and possess basic skills in Microsoft Office products, i.e. Excel, Outlook and Word
  • Strong knowledge of practice management system
  • Complete all required background checks
  • Provide/maintain all required immunizations and/or vaccinations
  • Bilingual in Spanish, preferred.


KEY RESPONSIBILITIES:

  • Record and post all third-party payments and adjustments in practice management system
  • Works with manager to evaluate denials and trends in insurance payments and denials
  • Works with Billing Manager and Site Managers to train and educate staff on proper procedures
  • Answers questions from patients, clerical and front desk staff and insurance companies
  • Identifies and resolves patient billing complaints
  • Prepares and reviews weekly patient statements
  • Evaluates the patient’s financial status and establishes budget payment plans. Follows and reports status of delinquent accounts
  • Participates in educational activities and attends monthly staff meetings
  • Performs various collection actions including but not limited to contacting patients by phone, correcting and resubmitting claims to third party payers
  • Maintain/possess professional telephone manner
  • Ability to read, understand and follow oral and written instructions
  • Maintain/possess excellent communication skills, both written and verbal, and internal personal skills.



Our Benefits

Our comprehensive benefits package includes 403(b), health insurance, vision and dental insurance, flexible spending accounts, health reimbursement accounts, tuition reimbursement up to $1,000 annually, an Employee Assistance Program, generous vacation, sick and personal days, and up to 13 paid holidays for all eligible employees. Some benefits are included for part-time employees.



CCAP strives to cultivate and sustain a workforce devoted to providing compassionate and respectful care to all patients and clients. We are an Equal Opportunity Employer, committed to providing equal employment opportunities to all employees and applicants for employment without regard to any characteristic protected by federal, state, or local law.

Key Skills
Third Party BillingMedical BillingInsurance Payment PostingDenial ManagementAccounts ReceivablePatient Account ResolutionMicrosoft ExcelMicrosoft OutlookMicrosoft WordPractice Management SystemsPhysician Referral ProtocolsSpanish BilingualismCommunication SkillsFinancial BudgetingClaims ResubmissionMedical Reimbursement
Categories
HealthcareFinance & AccountingAdministrativeSocial Services
Benefits
403(b)Health InsuranceVision InsuranceDental InsuranceFlexible Spending AccountsHealth Reimbursement AccountsTuition ReimbursementEmployee Assistance ProgramVacationSick DaysPersonal DaysPaid Holidays
Job Information
📋Core Responsibilities
Responsible for posting third-party insurance payments, processing denials, and following up on unpaid claims to maintain accounts receivable. The role involves resolving patient billing complaints and collaborating with management to train staff on proper billing procedures.
📋Job Type
full time
💰Salary Range
$19 - $22
📊Experience Level
2-5
💼Company Size
256
📊Visa Sponsorship
No
💼Language
English
🏢Working Hours
40 hours
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