Billing Collection Representative

Akron Children's Center • Akron, OH

246d

About The Position

The Billing Collections Rep is responsible for resolving unpaid insurance accounts by contacting insurance companies through various means to solicit payment for applicable patient encounters. This position requires the ability to develop positive relationships with payer representatives to ensure timely collection of accounts. The role involves investigating pended claims, identifying trends, and resolving issues related to claims and provider credentialing. Additionally, the representative will accurately post resolutions to accounts and maintain provider manuals for assigned insurance carriers.

Requirements

• Experience in processing and billing physician claims is required.
• Experience in the technical aspects of billing and collections required, including CPT and ICD coding knowledge, understanding payer remittance coding/process and outcomes analysis/reporting.
• Experience working with applicable management team members and clinic staff required.
• Proficiency in the management of CMS formatted claims required.
• Proficiency in MS Office [Outlook, Excel, Word]. Epic experience is preferred.

Nice To Haves

• Bachelor's Degree is preferred.
• Medical Billing Certificate is preferred.
• 5 years relevant experience preferred.

Responsibilities

• Develops positive relationships with payer representatives in order to collect accounts timely.
• Investigates pended claims to determine why claims were pended and resolve reasons for the pended scenario.
• Identifies and resolves trends with pended claims, which includes appeals for untimely claim submission and resolving provider credentialing issues.
• Accurately posts resolutions to accounts including updating and billing insurance and correct and repost.
• Establishes and maintains provider manuals for assigned insurance carriers and subsequent plans.
• Monitors physician's enrollment to not exceed timely filing requirements.
• Other duties as required.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Social Assistance
• Education Level: High school or GED