Facility Medical Billing and Collections Specialist

Provides administrative support in the billing and collections function of the medical revenue cycle process. Prepares new charges, completes insurance verification, maintains patient records, and is responsible for 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

JD: what this team is doing is Invoicing facilities per contracts like Purchase orders, supplies, and what their Techs do on the Surgical side for the equipment used.
Part one of day-to-day is the 24-48 hours after services/products are facilitated - we look at contracts for payments TO facilities. So there is emails to check first for responses back from 'pont person' at the facility. No Patient or Insurance calls. No Prior auth UB04's, or coding involved.
Part 2 Work Excel sheets to see missing Purchase orders and then outreach to find them or if any information is missing (like their invoice number, what was ordered, used, DOS, Patient Demo, etc)
Part 3- AR/AP - which is more the 'billing' aspect. Contacts are verified. Billing for the FULL facility, not day-to-day PO's. And an aging report of what is not received or paid.
Works on Excel daily log/buckets.
Touch 50 Invoices daily (meaning works with posting on their Excel sheet posting log)
At least 10 Purchase Orders to be done for each region worked (Different Hospitals and States)
And 8-9 Aging Report Invoices complete a day out of a possible 75 Hospitals.

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Required Skills & Experience
- 1 - 2 years of related experience (billing, medical equipment billing, home health care billing, or collections experience)
- High school diploma or equivalent required
- Experience handling 90 billing cases per day
- Experience doing collections for 25-30 accounts per day
- Must be able Touch 50 Invoices daily (meaning works with posting on their Excel sheet posting log)
- At least 10 Purchase Orders to be done for each region worked (Different Hospitals and States)
- 8-9 Aging Report Invoices complete a day out of a possible 75 Hospitals.

Nice to Have Skills & Experience
- Facility Billing/Collections experience (Hospital)

Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching. Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.