About The Position

The Billing and Collections Specialist is responsible for the timely follow-up of claims billed and resolution of accounts. Oversees the account receivables and maintain detailed/accurate account documentation.

Requirements

  • High school diploma or general education degree (GED); and three to four years’ related experience and/or training; or equivalent combination of education and experience
  • 4-5 years medical billing and claims reimbursement experience; preferred
  • Knowledge of all Government, Commercial and Private payers; required
  • Knowledge of medical and billing terminology; required
  • Knowledge of HIPAA and other industry specific regulations; required
  • Knowledgeable of all companies and modalities; required
  • (Internal) Enrolled as Billing & Collections Specialist 2 for a minimum of 1 years; exceptions with manager approval
  • Excellent written and verbal communication skills
  • Strong interpersonal skills and a high degree of collaboration at all levels
  • Excellent organizational skills, detail oriented, ability to prioritize, multi-task and meet deadlines
  • Intermediate customer service and phone skills
  • Excellent problem-solving skills and strong ability to complete complex claim analysis
  • Advanced with Microsoft Office, including Word, Excel and Outlook

Responsibilities

  • Appeal and/or rebill all open, underpaid/unpaid claims thoroughly, accurately, promptly, and with all supporting documentation
  • Identify and complete Medical Necessity appeals
  • Responsible for maintaining and updating payor billing and collection guidelines, fee schedules, etc.
  • Report all payor issues and/or denial trends to Lead/Supervisor
  • Work cross-functionally to complete multiple department assignments
  • Review, document, and resolve all incoming correspondence, payor calls, and payments; Assist as needed
  • Assist in continuous training and cross-functional efforts
  • Other duties as assigned
  • Regular scheduled attendance

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Education Level

High school or GED

Number of Employees

1,001-5,000 employees

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