Medical Billing & Collections Specialist

Globus Medical • Ann Arbor, MI

323d

About The Position

As a revenue cycle specialist with NuVasive Clinical Services, you will provide administrative support during the post-payment review function of the medical revenue cycle process. This position will review paid claims, identify claims that meet No Surprises Act requirements, retrieve documents for NSA submissions, initiate NSA submissions, work with 3rd party vendors, maintain logs, and meet all Federal and State deadlines. This is a fantastic opportunity to grow your medical billing and collections career.

Requirements

• Typically requires a minimum of 1 - 2 years of related experience
• High school diploma or equivalent required
• High level of quality awareness, accuracy, and attention to detail
• Strong communication, organizational, and problem-solving skills
• Data-oriented with basic proficiency in MS Office Applications, strong analytical skills, and the ability to create detailed reports
• Sense of urgency and customer-oriented mindset with an understanding of Health Insurance Portability and Accountability Act (HIPAA) compliance and Protected Health Information (PHI)
• Self-starter with the ability to work independently, multitask, and handle various priorities in a fast-paced environment
• Working knowledge of payer reimbursement guidelines and government, regulatory, and company billing and compliance regulations/policies for assigned payers
• Working knowledge of full medical Revenue Cycle processes, including eligibility, claims, EOBs, payment/adjustment posting, and appeals
• Effective verbal and written communication skills

Nice To Haves

• No Surprises Act experience a plus
• Some medical claims collections experience preferred

Responsibilities

• Review and verify claim meets No Surprises Act requirements
• Maintain the database and logs by entering, updating, and retrieving data, as well as formatting and generating reports
• Assist in the resolution of outstanding accounts receivable problems from past due accounts
• Respond to inquiries from customers or external collection resources
• Place calls and send messages to those with unresolved issues
• Understand and maintain all governmental, regulatory, and company billing and compliance regulations and policies for payers
• Follow up with payers, third-party vendors, entities, and other appropriate parties to collect outstanding balances promptly
• Identify and report to management any payer, or third-party vendor issues concerning billing and collections
• Review, analyze, and reconcile post-payment accounts
• Adhere to the letter and spirit of the company Code of Conduct, the AdvaMed Code, MedTech Code, and all other company policies
• Ensure compliance with applicable governmental laws, rules, and regulations, both in the United States and internationally
• Represent the company in a professional manner and uphold the highest standards of ethical business practices and socially responsible conduct in all interactions

Benefits

• Equal Employment Opportunity
• Commitment to a diverse workforce
• Support for an inclusive and respectful environment

What This Job Offers

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