Job Description

Salary: 50k/year + quarterly bonus

Hybrid (3 days a week onsite) in Colombia, MD

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

REQUIRED SKILLS AND EXPERIENCE

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

NICE TO HAVE SKILLS AND EXPERIENCE

Experience with AR collections for the following insurances; Medicare, Aetna, Cigna and Medicare Advantage plans.

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