Medical Biller/Collections Specialist

Independent Dialysis Foundation•Baltimore, MD

6d•Onsite

About The Position

Independent Dialysis Foundation has a rare opening in its Accounts Receivables Department. Over a third of our talented staff have been with the company for an average of 20 years. IDF is an over 45-year-old Maryland Non-Profit Dialysis company focused on delivery of quality patient care and career satisfaction of our staff. Candidates that do not complete an application will not be considered. We are looking for someone who thrives on problem-solving, insurance follow-up, appeals, and helping maximize reimbursement through effective accounts receivable management. Position Summary The Billing & Accounts Receivable Specialist will be assigned a portfolio of patient accounts and will be responsible for managing those accounts throughout the revenue cycle. Responsibilities include insurance follow-up, denial resolution, cash posting support, payment research, appeals, authorizations, account reconciliation, and collection activities as appropriate. The ideal candidate possesses strong knowledge of insurance billing, excellent organizational skills, and the ability to independently manage multiple priorities while working collaboratively with our accounting and clinical teams.

Requirements

High school diploma or equivalent required.
Minimum of 2–3 years of recent medical billing and accounts receivable experience.
Strong understanding of insurance benefits, primary and secondary billing, and insurance follow-up.
Proven success working insurance aging and denied claims.
Strong analytical and problem-solving abilities.
Excellent verbal and written communication skills.
Ability to work independently while managing assigned accounts.
Highly organized with exceptional attention to detail.
Proficiency in Microsoft Office Suite and medical billing software.
Ability to prioritize workload and meet deadlines in a fast-paced environment.
Customer service mindset with a professional and positive attitude.

Nice To Haves

Experience with appeals, claim corrections, collections, and authorization processes preferred.
Dialysis billing experience is a plus but not required.

Responsibilities

Manage assigned patient accounts receivable from claim submission through final payment.
Follow up on outstanding insurance claims, denials, and underpayments with commercial insurance carriers, Medicare, Medicaid, and Medicare Advantage plans.
Research and resolve billing discrepancies, payment variances, and payer issues.
Prepare and submit appeals, reconsiderations, corrected claims, and supporting documentation.
Verify insurance eligibility, effective dates, referrals, and prior authorizations as needed.
Perform cash posting and payment reconciliation while ensuring accurate account balances.
Assist with monthly billing, primary and secondary claim processing, and self-pay balance billing.
Monitor assigned aging accounts and prioritize follow-up activities to maximize collections.
Maintain accurate documentation of all payer communications and account activity.
Collaborate with internal staff to obtain documentation necessary for claim resolution.
Identify reimbursement trends and recommend process improvements.
Perform additional billing and revenue cycle duties as assigned.