Billing & Collections Specialist

About the role

The Billing and Collections Specialist plays a crucial role in the Revenue Cycle Management Team, driving the medical technology industry forward through transforming patient care and improving patient outcomes.

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.
• Reviews claims with outstanding balances and identifies actions to successfully collect revenues.
• Performs collections for Revenue Cycle Management Department related to cash collections, aged accounts receivables, and denials.
• 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 India team to ensure appropriate audits are taking place and that the Collections Team is appropriately processing denied claims.
• 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.
• Proactively researches and understands payor issues, troubleshooting and resolving issues that impact revenue.
• Provides ongoing trend analysis to identify reasons for denials and apply corrective actions steps to prevent impact to cash flow.
• Communicates analysis to other RCM team members in an effort to increase denial prevention.
• Researches and processes charge revisions, corrections, adjustments, and/or discounts associated with disputes.
• Schedules follow-up communications in required intervals.
• Aids in resubmission and review of invoices for aged accounts.

Requirements

• Minimum of 5 years of experience 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.
• High School Diploma.

Qualifications

• May occasionally lift up to 10 pounds.
• Routinely uses standard office equipment such as computers, keyboard, phone, print.
• May occasionally reach with hands and arms.
• Must have the ability to look at a computer screen for extended periods of time.
• Must be able to sit and stand for extended periods of time and use hands and fingers to handle or feel, and to manipulate keys on a keyboard and operate portable input devices (e.g., smart phone, mouse).
• Uses standard office equipment such as computers, keyboard, phone, print.
• May occasionally reach with hands and arms.
• Must have the ability to look at a computer screen for extended periods of time.
• Must be able to sit and stand for extended periods of time and use hands and fingers to handle or feel, and to manipulate keys on a keyboard and operate portable input devices (e.g., smart phone, mouse).

Skills

• Dataworks, Computers Unlimited TIMS, or similar third-party billing software.

Benefits

• Medical Insurance
• Dental Insurance
• Vision Insurance
• Spending and Savings Accounts
• 401(k) Plan
• Vacation, Sick Leave, and Holidays
• Income Protection Plans
• Discounted Insurance Rates
• Legal Services

Pay

Compensation is commensurate with experience.

Schedule

Full-time position.