Billing and Collections Specialist responsible for timely claims follow-up and account management. Overseeing account documentation and collaborating across departments for resolutions.
Responsibilities
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
Other duties as assigned
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
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