Billing & Collections Specialist

Enovis•Lewisville, TX

5d•Onsite

About The Position

The Billing & Collections Specialist performs billing and collections work for open accounts receivable, providing quality customer service while collecting assigned outstanding and aged account balances. The role manages high-risk or escalated accounts, identifies denial and process trends, partners across functions to drive improvements, and supports team members in achieving timely collections, reduced aging, and strong service to internal and external stakeholders. The specialist prepares, edits, and submits billing in accordance with customer contracts and payer rules; reviews outstanding claims and pursues appropriate collection actions; posts insurance denials; researches billing revisions and disputes; and documents account activity and communications. The role also prepares audit documentation, maintains current knowledge of relevant products and insurance policies, and contributes billing expertise to team training and process improvement. The position is based in Billerica, Massachusetts, or Lewisville, Texas, in a typical office environment and does not require travel.

Requirements

High school diploma or GED.
At least 2 years of experience in medical billing and collections.
Proficiency in Microsoft Office applications.

Nice To Haves

Knowledge of billing and collections regulations.
Experience in a healthcare environment.
Knowledge of insurance contract practices, third-party billing, and billing to private clients.
Experience using Dataworks, Computers Unlimited TIMS, or similar third-party billing software.

Responsibilities

Prepare, edit, and submit account billing promptly and in accordance with customer contracts and payer rules and regulations.
Provide accurate, timely, relevant, and quality service and work on customer accounts and assigned accounts receivable tasks.
Review claims with outstanding balances and identify actions needed to collect revenue.
Perform Revenue Cycle Management collections involving cash collections, aged accounts receivable, and denials.
Follow up with insurers and patients to collect outstanding balances while providing exceptional customer service and building business relationships.
Post insurance denials accurately and promptly.
Review and prepare audit documentation and submit it to the appropriate auditing entity in a timely manner.
Identify reasons for denials, take corrective action, and own claims through successful collection.
Research and process charge revisions, corrections, adjustments, and discounts associated with disputes.
Correspond with insurance companies by telephone or in writing regarding claims follow-up.
Document case activity, communications, and correspondence in the Company database to maintain complete and accurate account records.
Schedule follow-up communications at required intervals.
Maintain professional and technical knowledge of relevant products, health insurance plans, policies, and procedures.
Provide medical billing expertise for training content, knowledge-transfer programs, policies, and procedures to improve Revenue Cycle Management Team efficiency and effectiveness.