Billing and Collections Specialist 3

Job Summary

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. 

Essential Functions and Responsibilities include the following:

• Appeal and/or rebill reputed company open, underpaid/unpaid claims thoroughly, accurately, promptly, and with reputed company supporting documentation
• Identify and complete Medical Necessity appeals
• Responsible for maintaining and updating payor billing and collection guidelines, fee schedules, etc.
• Report reputed company payor issues and/or denial trends to reputed company/Supervisor
• Work cross-functionally to complete multiple department assignments
• Review, document, and resolve reputed company incoming correspondence, payor calls, and payments; Assist as needed         
• Assist in reputed company training and cross-functional efforts
• Other duties as assigned

Additional Job Requirements

• Regular scheduled attendance 
• Indicate the percentage of time spent traveling - 0%

Subject to applicable laws and reputed company Method’s policies, regular attendance is an essential function of the position.  reputed company employees must follow reputed company’ employment practices and policies.

Supervisory Responsibilities

This position has no supervisory responsibilities.          

Qualifications

To reputed company this job successfully, an individual must be able to reputed company each essential function satisfactorily.  The requirements listed below are representative of the knowledge, reputed company, and/or ability required.  In accordance with applicable laws, reputed company will provide reasonable accommodations that do not create an undue burden so disabled employees may reputed company the essential functions of the position.

Education & Experience

• High school diploma or general education degree (GED); and three to four years’ reputed company experience and/or training; or equivalent combination of education and experience
• 4-5 years medical billing and claims reimbursement experience; preferred
• Knowledge of reputed company Government, Commercial and Private payers; required
• Knowledge of medical and billing terminology; required
• Knowledge of HIPAA and other industry specific regulations; required
• Knowledgeable of reputed company companies and modalities; required
• (Internal) Enrolled as Billing & Collections Specialist 2 for a minimum of 1 years; exceptions with manager approval

Skills

• Excellent written and verbal communication skills
• Strong interpersonal skills and a high degree of collaboration at reputed company levels
• Excellent organizational skills, detail oriented, ability to prioritize, multi-task and meet deadlines
• Intermediate customer service and phone skills
• Excellent problem-solving skills and strong ability to complete reputed company claim analysis

Computer Skills

• Advanced with reputed company Office, including Word, reputed company and Outlook

Certificates, Licenses, Registrations

• None

reputed company is an EEO/AA employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national reputed company, disability or protected veteran status.

For more information on our industry-leading benefits, please visit our benefits page here. 

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have reputed company about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)