Full-time, 40 hours/week
Monday-Friday 8am-4:30pm
Remote (prefer candidates that live within commutable distance from Akron, Ohio)
Summary:
The Billing Collections Rep is responsible for resolving unpaid insurance accounts, by contacting insurance companies through various means to solicit payment for applicable patient encounters.
Responsibilities:
- Develops positive relationships with payer representatives in order to collect accounts timely.
- Investigates pended claims to determine why claims were pended and resolve reasons for the pended scenario.
- Identifies and resolves trends with pended claims, which includes appeals for untimely claim submission and resolving provider credentialing issues.
- Accurately posts resolutions to accounts including updating and billing insurance and correct and repost.
- Establishes and maintains provider manuals for assigned insurance carriers and subsequent plans.
- Monitors physician’s enrollment to not exceed timely filing requirements.
- Other duties as required.
Other information:
Technical Expertise
- Experience in processing and billing physician claims is required.
- Experience in the technical aspects of billing and collections required. This includes CPT and ICD coding knowledge, understanding pay3r remittance coding/process and outcomes analysis/reporting.
- Experience working with applicable management team members and clinic staff required.
- Proficiency is the management of CMS formatted claims required.
- Proficiency in MS Office [Outlook, Excel, Word]. Epic experience is preferred.
Education and Experience
- Education: High school diploma or equivalent is required. Bachelor’s Degree is preferred.
- Certification: Medical Billing Certificate is preferred.
- Years of relevant experience: Minimum 1 year experience required. 5 years relevant experience preferred.
- Years of experience supervising: None.
Full Time
FTE: 1.000000
Status: Remote