Billing Specialist - Guaynabo PR

Alivia Health

5h • Onsite

About The Position

Responsibilities:

Creation of invoices for managed medicalplans;including but not limited to: FM Medical Vital,MenonitaVital, Triple S (All LOB), Humana, MMM, MCS; among others.
Creation of invoices for secondary medical plans and foundations.
Handling anduse ofbilling 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 metricsestablishedin the monthly work plans.
Meet the monthly billing close.
In charge of investigating and resolving billing problems and referring them to theSupervisor;if necessary.
Contact medical offices, patients, and medicalplans;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.

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)

Nice To Haves

• Medical Billing Certification.
• Continuing Education Certificates in the area of billing.

Responsibilities

• Creation of invoices for managed medicalplans;including but not limited to: FM Medical Vital,MenonitaVital, Triple S (All LOB), Humana, MMM, MCS; among others.
• Creation of invoices for secondary medical plans and foundations.
• Handling anduse ofbilling 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 metricsestablishedin the monthly work plans.
• Meet the monthly billing close.
• In charge of investigating and resolving billing problems and referring them to theSupervisor;if necessary.
• Contact medical offices, patients, and medicalplans;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.

What This Job Offers

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