Billing Collection Representative

Full-time, 40 hours/week Monday-Friday 8am-4:30pm Remote- onsite in Akron required occasionally

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 payer 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