Billing and Collections Specialist

Billing and Collections Specialist

Congress Billing is a sophisticated Billing Management Company that strongly believes in the best interest of our clients. Our mission is to ensure that all Congress Billings clients have a proven low-cost RCM solution that provides maximized Insurance Reimbursements in the quickest attainable time possible. We will achieve this with the highest level of professionalism, ethics, and transparency. If you take pride in being the best, we want you on our team.

At Congress Billing, you'll be handling the timely generation of claims and collections of outstanding accounts receivable dollars from the existing client base, and all other aspects of collections, resolving insurance billing problems and reducing accounts receivable delinquency. You'll play a key role in meeting our success goals and helping our clients, with the support of a talented team.

Being the best at what we do includes our team values of growth and respect. In addition to competitive pay, we offer quality health insurance, dental and vision, 401k matching, paid time off, and education tuition incentives. We have a top of the line training program to ensure you have the tools and support to excel. We believe in being the best, and that means setting our team up for success.

• Bachelor's degree (B.A./B.S.) from a four‑year college or university; or two to four years related experience and/or training; or equivalent combination of education and experience. Minimum of high school diploma or equivalent required.
• Minimum of 2 years experience in medical billing and coding.
• Proficient in using RCM and related software.
• Strong professional communication skills (written and verbal).

• Submits insurance claims via electronic clearinghouse and paper claims via mail.
• Performs audits of assigned accounts before submitting claims to ensure accuracy and validity.
• Provides continual follow‑up within the billing software to ensure claims are received by insurance companies appropriately.
• Reviews claim holds and facilitates clean claim processing.
• Commits to providing excellent customer service while maintaining the highest degree of professionalism while working in a team environment to meet goals.
• Understands and complies with all HIPAA rules and regulations.
• Resolves insurance related problems and reduces accounts receivable delinquency, applying professional customer service skills in a timely manner.
• Faxes documents, medical records, authorizations, or other requested information (within reason) to insurers and perform follow‑up as required to maintain company standards.