Medical Billing & Collections Specialist I - Ajinomoto Cambrooke, Inc.

About Us:

Eat Well, Live Well.   At Ajinomoto Cambrooke, we build careers grounded in helping improve people’s health through nutritional therapies.  

 

Ajinomoto Cambrooke (ACI) was founded by parents looking to develop better solutions for their children with PKU.   Over the subsequent 20+ years, we have expanded into additional therapeutic areas with a focus on enjoyable nutrition as a core part of normalizing the life for people living with medical conditions. 

 

Joining ACI means becoming part of a diverse team of talented people who want to build their careers while contributing back to society in a positive way.   We seek individuals who bring an entrepreneurial mindset with a bias for action and finding solutions.   We provide an environment based in mutual respect and collaboration to support you and give you opportunities to learn and develop.

 

Join us to find a rewarding work experience that lets you be at your best and have an impact on our patient communities.

Overview:

The Medical Billing and Collections Specialist I supports the Finance organization with various duties related to billing and collection of customer accounts. The position also acts as a patient-focused liaison to assist customers with access to our products through the referral process. This position requires the ability to interact professionally with patients, insurance companies, institutions (including state programs, clinics, and other health professionals), as well as Cambrooke employees. This position is in the corporate office in Ayer, MA. The core hours of operation are 8:30 am to 5:30 pm. Limited remote work is available.

Qualifications:

EDUCATION, CERTIFICATIONS AND EXPERIENCE:
• Minimum High School Diploma or equivalent; College degree a plus. 
• 2+ years' work experience in medical billing, eligibility, authorization, and interaction with payers. 
• Understanding of HCPCs and ICD10 coding 
• Working knowledge of commercial and state payers claim processing and procedures (including Medicare, Medicaid, and WIC). 
• Medical Terminology and/or Clinical Nutrition knowledge a plus.
• Proficiency in Microsoft Office; Excel, Word, Teams, Access etc.
• Previous experience with Salesforce, QuickBooks, 

 

KNOWLEDGE, SKILLS AND ABILITIES:
• Ability to multi-task, with attention to detail to ensure accuracy. 
• Able to prioritize work, anticipate department needs, plan accordingly and able to handle the many interruptions with ease. 
• Strong written and oral communications skills required to provide excellent customer service and/or Revenue Cycle updates. 
• Demonstrated sense of compassion and drive to ensure patient(s) and their families receive optimal coverage so they can receive Cambrooke products. 
• Ability to work independently with minimal direction, take initiative within scope of work responsibilities 
• Must be a strong team player working with the various Revenue Cycle Teams and be able to initiate activity and/or promptly communicate & mentor others. 
• Must have great listening skills to work with team members, other colleagues, and outside customers & clinics, to identify and initiate suggestions, guidance and/or resolution. 
• Must be results and people-orientated having the ability to balance business and relationship considerations. 
• Knowledge of HIPAA compliance and the ability to maintain confidential and data security of all patient and company private and proprietary data. 
• Must maintain information security with regard to all company’s proprietary information.

Working Conditions / Physical Requirements:

WORKING CONDITIONS:
• Majority of work is completed in an office setting working inside a controlled temperature environment.
• Occasional work outside may be required to attend/support employee or patient events. 
• May perform activities in an environment containing hazardous elements and requiring safety awareness and adherence to all safety and GMP policies and guidelines. Ability to wear safety shoes when if required to enter the manufacturing or warehouse environment

 

PHYSICAL REQUIREMENTS:
• Work must be performed in a safe manner for personal protection and for the protection of other team members. 
• Position requires the ability to sit for a minimum of 6 hours per day 
• Ability to stand, walk, bend over, and reach above head on a regular basis 
• Ability to lift or carry up to 25 pounds occasionally
• Repetitive use of hands/arms for writing, filing, and computer work. 

Responsibilities:

• Timely invoicing for unpaid patient balances and Institutional orders. 
• Collection calls with payers and institutions until payment or resolution is obtained. 
• Ability to obtain and process credit card payments from patients or Institutional clients.
• Ensure Ajinomoto Cambrooke has necessary updated documentation to submit to third party payers. 
• Contact healthcare professionals, state agencies, and payers (insurance companies) for clinical documents, eligibility, benefits, authorization, and any other items to ensure payment on an as needed basis. 
• Assists in uploading current documents and populating required fields in Sales Force. 
• Filing and e-filing for all insurance claims following payer guidelines or instructions from Contracts and/or Single Case Agreements. 
• Contact various payers to acknowledge receipt of claim and/or inquire and document claim statuses.
• Interact with Client Services and Reimbursement team members to resolve or avoid payment issues & ensure prior orders are processed accordingly as stated in the SCA’s.
• Working knowledge of the CambrookeCare process to provide assistance or explain benefits and claims processing based on contracts and/or agreements made to secure final payment. 
• Understands and assists with processing payer denials so assigned Specialist can appeal accordingly based on payer guidelines and/or Case Agreements.
• Maintain medical records in compliance with HIPAA rules and regulations. 
• Adhering to all company SOPs with regards quality and safety. 
• Other duties as assigned.

Salary Range:yesEEO Statement:

Ajinomoto Cambrooke, Inc. is an Equal Opportunity Employer-Vets/Disabled, committed to a diverse workforce.  If you need assistance with completion of an application for employment, please contact Human Resources Department at 978-862-1938.