Billing and Collection Specialist

This candidate is responsible for delivering quality services in a timely manner. The specialist must possess a great working attitude while exercising accountability and professionalism in a fast-paced environment. This role reports to Revenue Cycle Management.

Billing and Collections Responsibilities

• Understanding of Medicaid regulations
• Submit claims in a timely manner according to payer regulations
• Recognize and update pre-billing errors
• Ensure proper follow-up using AR (Aging Reports), EOBs (Explanation of Benefits), and/or other correspondence
• Recognize payment errors using payer-contracted rates
• Abide by HIPAA regulations
• Communicate well with peers and administration
• Perform other duties as assigned

Payment Responsibilities

• Understanding of payment regulations
• Submit patient invoices
• Process Medicaid Remittance Advice
• Recognize payment errors using payer-contracted rates
• Abide by HIPAA regulations
• Communicate well with peers and administration

Qualifications

• Previous experience in billing/collections preferred
• Self-motivated
• Ability to work independently as well as in a team
• Ability to multitask and stay organized
• Willing to take on new tasks
• Operate standard office equipment
• Basic bookkeeping skills
• Ability to communicate and work well with others
• Maintain a professional, courteous attitude
• Experience with medical billing and/or medical payer rules

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