Medical Billing & Collections Specialist
NuVasive
- Columbia, MD
- Permanent
- Full-time
- 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
- High level of quality awareness, accuracy, and attention to detail
- Strong communication, organizational, and problem-solving skills
- Data-oriented with basic proficiency in MS Office Applications, strong analytical skills, and the ability to create detailed reports
- Sense of urgency and customer-oriented mindset with understanding of Health Insurance Portability and Accountability Act (HIPAA) compliance and Protected Health Information (PHI)
- Ability to work independently, multitask and handle various priorities in a fast-paced environment
- Working knowledge of payer reimbursement guidelines and government, regulatory and company billing and compliance regulations/policies for assigned payers
- Effective verbal and written communication skills
- Typically requires a minimum of 1-2 years of related experience
- High school diploma or equivalent required