Medical Billing & Collections Specialist

Globus Medical•Columbia, MD

8d•Hybrid

About The Position

NuVasive Clinical Services, a subsidiary of Globus Medical Inc., provides intraoperative neuromonitoring services to surgeons and healthcare facilities. The Medical Billing & Collections Specialist provides administrative support for medical revenue-cycle billing and collections. The role includes preparing new charges, verifying insurance, maintaining patient records, and collecting outstanding accounts receivable. This is a hybrid role in Columbia, Maryland. The specialist obtains or corrects information by contacting patients, physician offices, hospitals, next of kin, and insurance carriers; verifies uploaded patient information; activates and bills patients in the billing system; and maintains databases and reports. The position works to resolve past-due accounts, responds to customer and collection-resource inquiries, contacts parties regarding unresolved issues, follows up with payers and patients to collect open billings, and identifies payer issues for management. It also reviews, analyzes, and reconciles accounts-receivable and order-entry exceptions and discrepancies to support accurate invoicing and prompt payment. The role requires compliance with payer billing rules, governmental and regulatory requirements, company policies, and applicable laws. The specialist is expected to complete compliance training, uphold company and industry codes of conduct, and represent the company professionally and ethically. Other duties may be assigned, and reasonable accommodations may be made for individuals with disabilities.

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 customer-oriented mindset.
Understanding of HIPAA compliance and protected health information (PHI).
Ability to work independently, multitask, and manage various priorities in a fast-paced environment.
Working knowledge of payer reimbursement guidelines and applicable government, regulatory, and company billing and compliance requirements for assigned payers.
Effective verbal and written communication skills.
Ability to sit for long periods, approximately 6–8 hours per day, in front of a computer screen.
Adherence to the company Code of Conduct, AdvaMed Code, MedTech Code, and other company policies.
Ability to maintain knowledge of applicable governmental laws, rules, regulations, and compliance requirements through required training.

Responsibilities

Obtain needed or corrected information by contacting patients, physician offices, hospitals, next of kin, insurance carriers, and other relevant parties.
Verify the accuracy of patient information uploaded to the system.
Activate and bill patients within the billing system.
Maintain databases by entering, updating, and retrieving data, and by formatting and generating reports.
Assist in resolving outstanding accounts-receivable problems, including past-due accounts.
Respond to inquiries from customers and external collection resources.
Place calls and send messages to parties with unresolved issues.
Follow governmental, regulatory, and company billing and compliance requirements and payer policies.
Follow up with payers, patients, and other appropriate parties to collect open billings in a timely manner.
Identify and report payer billing and collections issues to management.
Review, analyze, and reconcile initial accounts-receivable and order-entry exceptions and discrepancies to support accurate invoicing and prompt payment.
Complete introductory and annual compliance training and maintain knowledge of compliance requirements relevant to the role.
Adhere to company policies and codes of conduct, and represent the company professionally and ethically.
Perform other duties as assigned.