Sr. Billing & Collections Specialist

Enovis•Phoenix, AZ

11d•Onsite

About The Position

As a key member of the Revenue Cycle Management Team, you will play an integral part in helping Enovis drive the medical technology industry forward through transforming patient care and creating better patient outcomes. The Sr. Billing & Collections Specialist is a subject-matter expert responsible for overseeing complex Billing and Collections activities while supporting the accuracy, compliance, and optimization of revenue cycle operations. This role manages high-risk or escalated accounts, identifies denial and process trends, partners cross-functionally to drive improvements, and serves as a resource to team members to ensure timely collections, reduced aging, and exceptional service to internal and external stakeholders.

Requirements

High School Diploma or GED required.
Minimum of 5 years of experience in medical billing and collections required.
Demonstrated experience leading teams required.
Proficiency in Microsoft Office applications required.
Knowledge of billing and collections regulations required.
Experience in a healthcare environment required.
Knowledge of insurance contract practices, third-party billing and billing to private clients required.
Demonstrated customer service expertise.

Nice To Haves

Associate degree preferred.
Experience using Dataworks, Computers Unlimited TIMS, or similar third-party billing software strongly preferred.

Responsibilities

Prepares, edits, and submits account billing in a timely manner and in accordance with customer contract and payer rules and regulations.
Demonstrates exceptional service and integrity related to customer accounts through accurate, timely, relevant, and quality work efforts of all Accounts Receivable or assigned tasks.
Review claims with outstanding balances and identify actions to successfully collect revenues.
Performs collections for the Revenue Cycle Management Department related to cash collections, aged accounts receivable, and denials.
Reviews claims with outstanding balances and identifies actions to successfully collect revenues.
Follows up with insurers and patients to collect outstanding balances while providing exceptional customer service focused on building enduring business relationships.
Posts all insurance denials in a timely and accurate manner.
Collaborates with offshore Cognizant partners to ensure appropriate audits are taking place and that the Collections Team is appropriately processing the claims denied.
Works to minimize third-party payor denials by identifying trends in claim denials and partnering with various cross-functional departments.
Identifies reasons for denials, takes required corrective action, and takes ownership of claims through timely and successful collection.
Identifies root causes for initial denials and gaps associated with existing workflows.
Ensures that secondary bills and patient invoices are accurately generated and submitted on a timely basis.
Accurately identifies and updates various types of insurance entry information as needed.
Responsible for identifying potential errors that require necessary coding reviews, corrections, or adjustments.
Reviews self-pay accounts to determine if all collection efforts have been exhausted.