NSA Billing & Collections Specialist

NCS - Globus Medical, Inc.•Columbia, MD

About The Position

At Globus Medical, we move with a sense of urgency to deliver innovations that improve the quality of life of patients with musculoskeletal disorders. Our team is inspired by the needs of these patients, and the surgeons and healthcare providers who treat them. We embrace a culture of exceptional response by partnering with researchers and educators to transform clinical insights into tangible solutions. Our solutions improve the techniques and outcomes of surgery so patients can resume their lives as quickly as possible. NuVasive Clinical Services, a subsidiary of Globus Medical Inc., is a leading provider of intraoperative neuromonitoring (IOM) services to surgeons and healthcare facilities, through the acquisitions of Impulse Monitoring, Biotronic NeuroNetwork, Safe Passage, and others. IOM technology gives those in the operating room real-time insight into the nervous system, which can help surgeons reduce surgical risk by providing critical information and alerts throughout the procedure. Position Summary: As a Revenue Cycle Specialist with NuVasive Clinical Services, you will provide administrative support in the post-payment review function of the medical revenue cycle process. 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 career in medical billing and collections.

Requirements

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 understanding of Health Insurance Portability and Accountability Act (HIPAA) compliance and Protected Health Information (PHI)
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
Effective Verbal and written communication skills
Typically requires a minimum of 1-2 years of related experience
High school diploma or equivalent required
Ability to sit for long periods of time, 6-8 hours per day in front of computer screen

Responsibilities

Review and verify claim meets No Surprises Act requirements
Submits Negotiations and IDR Final offers
Maintains the database and logs by entering, updating, and retrieving data, as well as formatting and generating reports.
Assists in the resolution of outstanding accounts receivable problems from past due accounts.
Responds to inquiries from customers or external collection resources.
Places calls and sends messages to those with unresolved issues.
Understands and maintains 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
Identifies and reports to management any payer, or third-party vendor issues concerning billing and collections
Reviews, analyzes, and reconciles post-payment accounts
Adheres to the letter and spirit of the company Code of Conduct, the AdvaMed Code, MedTech Code, and all other company policies.
Ensures Compliance with applicable governmental laws, rules, and regulations, both in the United States and internationally, by completing introductory and annual training and maintaining knowledge of compliance as it applies to your role
Represents the company in a professional manner and uphold the highest standards of ethical business practices and socially responsible conduct in all interactions with other employees, customers, suppliers, and other third parties
Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions.