Job Listing

MEDICAL BILLING AND COLLECTIONS SPECIALIST

POUGHKEEPSIE

Apply Online

Category:

BILLING

Status:

FULL TIME / TEMP TO PERM

Type of Business

NON FOR PROFIT

Job Qualifications:

Education & Experience

  • Associates degree in medical coding, finance, accounting, or related field preferred
  • Minimum of 2 years direct experience with complex medical billing & collections, preferably in a managed care setting

Additional Skills

  • Strong problem-solving abilities
  • Excellent interpersonal skills and communication skills
  • Skill with computer systems, spreadsheets and other electronic reporting tools

Job Description:

Job Responsibilities and Requirements:

• Manages the claims submissions (e.g., paper and/or electronic) to designated payers and agencies, monitoring of timely response, resolution of claims issues and/or denials with re-submissions, and prompt payment according to organization protocols and payer contract terms

• With input and support of management, handle all necessary processing of appeals

• When assigned responsibility for client account management

• Arranges with Claims Administrative Support to generate and mail monthly statements

• Communicates and follows up with clinics regarding scheduled clients with outstanding balances to ensure collection at time of visit

• Assists Front Office staff and clients in setting up payment contracts when necessary

• Conducts client payment calls and handles interaction (via telephone) with clients with past due accounts who present at the Front Office

• Monitors adherence to client payment contracts escalating to management as needed

• Tracks, posts and processes payments for all client-responsible A/R

• Generates reports for management of all client accounts recommended for turnover to collections. Flags client records for collection status to prevent Front Office from scheduling future appointments

• Continually follows up with clinical management for any issues necessary to ensure timely claims submission/re-submission with escalation to department management as needed

• Closely tracks claims submitted/resubmitted to payers with all necessary documentation to pursue collection as needed. Continually follows up with payers on late payments, denials or other issues to ensure maximum reimbursement. Escalates to immediate Supervisor to proactively reduce late submission denials, incorrect reimbursements or other issues impacting revenue

• Works closely with other Billing & Collection Specialists when transferring account balances for secondary payment by another payer to ensure all required information is communicated

• Works closely with the EDI Coordinator to ensure payer submissions and responses are closely monitored and any issues are addressed immediately. Assist in the testing of new EDI processing with designated payers/agencies

• Processes remittance reports and payments according to department standards, timelines, and processes


Education & Experience

• Associates degree in medical coding, finance, accounting, or related field preferred

• Minimum of 2 years direct experience with complex medical billing & collections, preferably in a managed care setting

Additional Skills

• Strong problem-solving abilities

• Excellent interpersonal skills and communication skills

• Skill with computer systems, spreadsheets and other electronic reporting tools

$18 PER HOUR

Have Questions About This Job?

Please reference
MEDICAL BILLING AND COLLECTIONS SPECIALIST
when calling or emailing
Thank you! Your application has been received!
Oops! Something went wrong while submitting the form.