Medical Billing & Collections Specialist

Medical Billing & Collections Specialist I page is loaded## Medical Billing & Collections Specialist Ilocations:
Fort Myers, FLtime type:
Full time posted on:
Posted Todayjob requisition :
M102448
** Job Description Summary
** The Payment Support Specialist is responsible for providing effective and accurate resolution of complex posting issues as identified through the Practice Management System (PMS). They are responsible for the in-depth research, validation of over payments and unapplied funds and processing of both patient and carrier requested refunds as appropriate. The Payment Support Specialist must research, troubleshoot, and ensure the accuracy of posted payments and rejections and provide relevant trending to the management team.

S/he responds to requests for additional information needed by the carrier in order to make a determination of payment. Opens and balances daily payment batches when applicable, prepares daily reports and submits to appropriate areas. The Payment Support Specialist is responsible to communicate posting errors identified with the PM system and complete dashboard assignments. S/he is responsible to process all incoming and out bound mail as well as complete assignments related to electronic deposits and refund processes.

All other duties as assigned.
** How will you make an impact & Requirements
** Essential Duties and Responsibilities include the following:
· Daily mail sort
· Manual posting and batch reconciliation as needed.
· Processing of electronic deposits
· Preparation of BYOLB packet to Practice Management Company
· Preparation of daily reconciliation forms and communications for Finance Department
· Process assigned work in the PM Dashboard including Unpostable and Correspondence dashboards, Overpaid and Unapplied worklists and any associated refunds. Carrier over payments to be processed in accordance with CMS required timelines.
· Timely follow up on outstanding research requests to payors, PM system cases etc.)
· Process refund checks
· Process collection agency payments as needed.
· Process correspondence and complete appropriate workflows relating to Bankruptcy notifications and Probate.

Mosaic Health is a national care delivery platform focused on expanding access to comprehensive primary care for consumers with coverage across Commercial, Individual Exchange, Medicare, and Medicaid health plans. The Business Units which comprise Mosaic Health are multi-payer and serve nearly one million consumers across 19 states, providing them with access to high quality primary care, integrated care teams, personalized navigation, expanded digital access, and specialized services for higher-need populations.

Through Mosaic Health, health plans and employers have an even stronger care provider partner that delivers affordability and superior experiences for their members and employees, including value-based primary care capacity integrated with digital patient engagement and navigation. Each of the companies within Mosaic Health provide unique offerings that together promise to improve individuals' health and wellbeing, while helping care providers deliver higher quality care.

For more information, please visit  Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.

If you require an accommodation for the application or interview process, please let us know and we will work with you to meet your needs. Please contact  for assistance.
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