Billing Specialist - Guaynabo PR

Alivia Health• GUAYNABO, PR, US, PR

7d•Onsite

About The Position

The Billing Specialist will be responsible for the creation and management of invoices for various managed medical plans and secondary medical plans/foundations. This role involves utilizing billing programs, ensuring timely and accurate billing, handling electronic and paper invoice transmission, and resolving rejected invoices. The specialist will also be responsible for meeting productivity metrics, managing monthly billing close, investigating and resolving billing issues, and maintaining updated medical plan information. Additionally, the role may involve preparing patient payment agreements and assisting with quotes or proof of receipt.

Requirements

High school diploma.
Medical Billing Certification. (preferred) or equivalent to 2 years of billing experience.
Continuing Education Certificates in the area of billing. (preferred)

Responsibilities

Creation of invoices for managed medical plans; including but not limited to: FM Medical Vital, Menonita Vital, Triple S (All LOB), Humana, MMM, MCS; among others.
Creation of invoices for secondary medical plans and foundations.
Handling and use of billing programs.
Bill within the required time and in the correct manner.
Responsible for the electronic transmission or sending of paper invoices and for accepting and confirming transmitted invoices.
Responsible for reviewing, analyzing, and correcting invoices rejected in transmission.
Meet the productivity and metrics established in the monthly work plans.
Meet the monthly billing close.
In charge of investigating and resolving billing problems and referring them to the Supervisor; if necessary.
Contact medical offices, patients, and medical plans; if necessary.
Update medical plan circulars.
Have up-to-date medical plan rate charts.
File sent invoices on paper and deactivate paid cases.
Assisting the preparation of patient payment agreements, quotes, or proof of receipt.