Billing and Collections Specialist

Starting at $47,840 MAJOR FUNCTION This position collaborates closely with the Revenue Cycle Manager & Revenue Cycle Supervisor, to ensure the seamless execution of day-to-day operations within the Billing Department.

With a focus on detail and accuracy, the Billing and Collections Specialist will work to ensure the timely of provider encounters for submission to insurance companies.  They will also work with the Revenue Cycle Specialist and revenue cycle vendor(s) to research and resolve billing issues.

ESSENTIAL FUNCTIONS Billing and Claims Management :

• Prepare and submit accurate and timely medical claims to insurance companies or government programs (e.g., Medicare, Medicaid).
• Verify insurance eligibility and benefits for patients, as needed.
• Assist with claims follow-up to promptly resolve billing discrepancies and denials.
• Collaborate with healthcare providers and relevant department staff to resolve billing discrepancies.

Revenue Cycle Management :

Compliance and Documentation :

Revenue Analysis and Reporting :

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KNOWLEDGE, SKILLS, ABILITIES AND OTHER (KSAO’s) Knowledge :

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