Billing and Collections Specialist – Level 3
Job Description:
- The Billing and Collections Specialist is responsible for the timely follow-up of claims billed and resolution of accounts.
- Oversees the account receivables and maintain detailed/accurate account documentation.
- Appeal and/or rebill all open, underpaid/unpaid claims thoroughly, accurately, promptly, and with all supporting documentation
- Identify and complete Medical Necessity appeals
- Responsible for maintaining and updating payor billing and collection guidelines, fee schedules, etc.
- Report all payor issues and/or denial trends to Lead/Supervisor
- Work cross-functionally to complete multiple department assignments
- Review, document, and resolve all incoming correspondence, payor calls, and payments; Assist as needed
- Assist in continuous training and cross-functional efforts
Requirements:
- High school diploma or general education degree (GED); and three to four years’ related experience and/or training; or equivalent combination of education and experience
- 4-5 years medical billing and claims reimbursement experience; preferred
- Knowledge of all Government, Commercial and Private payers; required
- Knowledge of medical and billing terminology; required
- Knowledge of HIPAA and other industry specific regulations; required
- Knowledgeable of all companies and modalities; required (Internal)
- Enrolled as Billing & Collections Specialist 2 for a minimum of 1 years; exceptions with manager approval
Benefits:
- For more information on our industry-leading benefits, please visit our benefits page here.