Medical Collections Specialist - AR (Jill)

Job Description

As a Medical Billing and Collections Specialist, you will provide administrative support in the billing and collections function of the medical revenue cycle process. Responsibilities include preparing new charges, completing insurance verification, maintaining patient records, and collecting on outstanding accounts receivable.

Obtain needed and or corrected information by contacting the patient, physician’s office, hospital, next of kin, insurance carrier, etc.

Verify all patient information uploaded is accurate

Activate and bill patients within the billing system

Maintains the database by entering, updating, and retrieving data, as well as formatting and generating reports

Assists in resolution of outstanding accounts receivable problems from past due accounts

Responds to inquiries from customers or external collection resources

Places calls and sends messages to those with unresolved issues

Understands and maintains all governmental, regulatory and company billing and compliance regulations and policies for payers

Follows-up with payers, patients, and other appropriate parties to collect open billings in a timely manner

Identifies and reports to management any payer issues with regards to billing and collections

Reviews, analyzes, and reconciles initial Accounts Receivable and Order Entry exceptions and discrepancies to provide accurate invoicing and prompt payment

Performs other duties as assigned

Adheres to the letter and spirit of the company Code of Conduct, the AdvaMed Code, MedTech Code, and all other company policies

Ensures Compliance with applicable governmental laws, rules, and regulations, both in the United States and internationally, by completing introductory and annual training and maintaining knowledge of compliance as it applies to your role

Represents the company in a professional manner and uphold the highest standards of ethical business practices and socially responsible conduct in all interactions with other employees, customers, suppliers, and other third parties

Skills and Requirements

Experience with Cigna, Aetna, billing, AR collections, and medical coding

• Experience working with Insurances - UHC, Medicare, Cigna, Aetna
• Experience with AR Collections - Daily volume that is extremely high/fast paced 18-24 - on the upside of 30 accounts per day Complexity - billing and collections Experience with AR collections for the following insurances; Medicare, Aetna, Cigna and Medicare Advantage plans.

We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day. We are an equal employment opportunity/affirmative action employer that believes everyone matters. Qualified candidates will receive consideration for employment without regard to race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances. If you need assistance and/or a reasonable accommodation due to a disability during the application or the recruiting process, please send a request to [email protected].