Medical Billing & Collections Specialist

Overview

Medical Billing & Collections Specialist – Bethesda, MD (Remote options) for NuVasive Clinical Services, a subsidiary of Globus Medical Inc. This role supports the billing and collections function of the medical revenue cycle, including preparing new charges, insurance verification, maintaining patient records, and 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.
• Review medical documents and patient information to ensure insurance criteria is met prior to billing.
• Activate and bill patients within the billing system.
• Maintain the database by entering, updating, and retrieving data, and by formatting and generating reports.
• Assist in resolution of outstanding accounts receivable problems from past due accounts.
• Respond to inquiries from customers or external collection resources.
• Place calls and send messages to those with unresolved issues.
• Understand and maintain all governmental, regulatory and company billing and compliance regulations and policies for payers.
• Follow up with payers, patients, and other appropriate parties to collect open billings in a timely manner.
• Identify and report to management any payer issues with regards to billing and collections.
• Review, analyze, and reconcile initial Accounts Receivable and Order Entry exceptions and discrepancies to provide accurate invoicing and prompt payment.
• Performs other duties as assigned.
• Adhere to the letter and spirit of the company Code of Conduct, the Adva Med Code, Med Tech Code, and all other company policies.
• Ensure compliance with applicable governmental laws, rules, and regulations, both in the United States and internationally, by completing introductory and annual training and maintaining knowledge of compliance as it applies to the role.
• Represent the company in a professional manner and uphold the highest standards of ethical business practices and socially responsible conduct in all interactions with employees, customers, suppliers, and third parties.

Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions.

• 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 HIPAA and 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 1-2 years of related experience.
• High school diploma or equivalent required.

• Ability to sit for long periods of time, 6-8 hours per day in front of a computer screen.

• Passionate about Innovation:
  Improving patient care by delivering advanced technology to our customers; we are committed to improving lives by developing better solutions.
• Customer Focused:
  We listen to our customers’ needs and respond with a sense of urgency.
• Teamwork:
  We value every person on our team and treat each other with respect. We are accountable to one another and support each other to be stronger together.
• Driven:
  We pursue our mission with energy and passion. We are nimble, results-oriented and decisive, overcoming obstacles to deliver solutions that improve lives.

Globus Medical is an equal opportunity employer. All applicants will receive consideration for employment without regard to race, color, religion, gender, sexual orientation, age, disability, marital status, pregnancy, national origin or citizenship. We are committed to a diverse workforce and value all employees’ talents.

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities. Duties, responsibilities and activities may change at any time with or without notice.