Medical Billing & Collections Specialist

NCS - Globus Medical, Inc.•Columbia, MD
•Hybrid

About The Position

The Medical Billing & Collections Specialist provides administrative support for NuVasive Clinical Services’ medical revenue cycle billing and collections function. The role supports accurate patient billing and timely collection of outstanding accounts receivable, including preparing and activating charges, verifying insurance and patient information, maintaining patient records and billing data, resolving billing exceptions, and communicating with patients, providers, payers, and external collection resources. This is a hybrid position in Columbia, Maryland. The specialist follows applicable payer reimbursement guidelines and governmental, regulatory, and company billing and compliance policies. The role also requires adherence to company conduct and industry codes, completion of compliance training, and professional, ethical interactions with employees, customers, suppliers, and other third parties. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Requirements

  • High level of quality awareness, accuracy, and attention to detail.
  • Strong communication, organizational, and problem-solving skills.
  • Data-oriented, with basic proficiency in Microsoft Office applications, strong analytical skills, and the ability to create detailed reports.
  • Sense of urgency and a customer-oriented mindset.
  • Understanding of HIPAA compliance and Protected Health Information (PHI).
  • Ability to work independently, multitask, and manage competing priorities in a fast-paced environment.
  • Working knowledge of payer reimbursement guidelines and applicable governmental, regulatory, and company billing and compliance regulations and policies.
  • Effective verbal and written communication skills.
  • Ability to sit for long periods, 6–8 hours per day, in front of a computer screen.
  • Commitment to company policies and ethical business practices, including completing required compliance training.

Responsibilities

  • Obtain needed or corrected information by contacting patients, physician offices, hospitals, next of kin, insurance carriers, and other appropriate parties.
  • Verify the accuracy of uploaded patient information.
  • Activate patients and bill them within the billing system.
  • Maintain the database by entering, updating, and retrieving data, and formatting and generating reports.
  • Assist in resolving outstanding accounts receivable issues on past-due accounts.
  • Respond to inquiries from customers and external collection resources.
  • Place calls and send messages to people with unresolved issues.
  • Follow up with payers, patients, and other appropriate parties to collect open billings in a timely manner.
  • Identify and report payer issues related to billing and collections to management.
  • Review, analyze, and reconcile initial Accounts Receivable and Order Entry exceptions and discrepancies to support accurate invoicing and prompt payment.
  • Maintain knowledge of and comply with governmental, regulatory, and company billing and compliance requirements and policies for payers.
  • Adhere to the company Code of Conduct, AdvaMed Code, MedTech Code, and other company policies.
  • Complete introductory and annual compliance training and maintain knowledge of applicable laws, rules, and regulations in the United States and internationally.
  • Represent the company professionally and uphold ethical business practices and socially responsible conduct in interactions with employees, customers, suppliers, and other third parties.
  • Perform other duties as assigned.
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