Medical Billing & Collections Specialist; ICT

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Summary

We are seeking a dedicated Medical Billing & Collections Information Communication Technology (ICT) Specialist to join our Billing Center (BC) department here s position is responsible for ensuring insurance changes are billed timely, RIE 5010 is managed and proactive steps are taken to ensure timeliness.

• Mon - Fri scheduled shift / flex hours between 7am - 5pm
• Work From Home after successful completion of IN OFFICE TRAINING and are meeting expectations with management approval

Essential Job Duties and Responsibilities

Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions. Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

• All manual re-billing audits are reviewed for accuracy and turned into supervisor for approval before posting, insures release of claim
• Contacts payer, patient or location as appropriate
• Documents all work done in via eIntake notes and NATs
• Ensures appropriate authorizations are obtained/included
• Ensures good communication with locations and payers, including identified errors
• Must be willing to problem solve and the ability to accept changes
• Processes adjustments within billing system
• Processes insurance changes in eIntake and Billing system as applicable
• Reports to Supervisor any payer, location, or other trends identified
• Resolves emails from BCC Supervisor/BCM within timely standards (BCC Billing Center Supervisor; BCM Billing Center Manager)
• Review and maintain OIP at standard
• Verifies insurance information to ensure accuracy
• Verifies the accuracy of the information in eIntake compared to information on the various reports
• Performs other duties as assigned

Employment is contingent on:

• Background check (company-wide). Results will not be used automatically to disqualify individuals. Instead, the Company will conduct an individualized assessment that considers the duties of the position, the nature and timing of the offense, and any evidence of rehabilitation, in accordance with applicable laws.
• Drug screen (when applicable for the position)
• Compliance with healthcare facility credentialing process (when applicable for the position)
• Valid driver’s license in state of residence with a clean driving record (when applicable for the position)

• High school diploma or GED equivalent, required

• Experience with medical billing practices and of billing reimbursement, preferred
• Experience in medical field and administrative record management, preferred
• One year of related work experience, preferred
• Medical terminology, preferred

• Accurately perform simple mathematical calculations
• Effectively communicate in English; both oral and written
• Interpret a variety of communications (verbal, non-verbal, written, listening and visual)
• Maintain confidentiality, discretion and caution when handling sensitive information
• Multi-task along with attention to detail
• Self-motivation, organized, time-management and deductive problem solving skills
• Work independently and as part of a team

• Email transmission and communication
• Internet navigation and…