Medical Collector

Job Opportunity

Billing and Collections Role

We are seeking a skilled professional to fill the position of Billing and Collections Specialist. This role is responsible for managing all Third Party billing and collections functions for assigned accounts in the revenue cycle.

The ideal candidate will have experience processing skilled nursing medical claims with third parties, including Medicare, Managed Care, and Insurance Companies. They should also possess strong communication, interpersonal, and organizational skills.

This is a remote position that offers flexibility and convenience. The successful candidate will be able to work independently and as part of a team, with discretion and judgment.

Key Responsibilities

• Coordinate accumulation of information with various departments; post to resident accounts.
• Review charges for accuracy, completeness, consistency and payers charged.
• Prepare and timely issue accurate billing statements to the correct payer using electronic systems provided.
• Monitor all submissions on a daily basis to address any denials or requests for additional information (ADRs).

Collections Responsibilities

• Follow up on unpaid claims/denials within company standard billing cycle timeframes; Determine reasons for denial. Correct claims and Re-bill when required.
• Document all communications and collection attempts, taking follow up action in accordance with established policies and procedures.
• Maintain A/R Aging levels for assigned accounts within company guidelines.

Cash Application

• Apply Third Party payments daily including checks, wire transfers, EFT payments, other bank deposits, cash and credit card payments. Confirm completeness and accuracy of payment information to the residents' accounts.

Customer Service

• Establish good relationships with all third party payers with professional communications.
• Efficiently conduct inquiries and analysis for resolution of discrepancies.

General Requirements

• Adhere to the policies and procedures of the business with the highest practical standards.
• Participate in and maintain current status on all training and education required by the company.
• Communicate effectively with all members of the staff and business partners.
• Provide feedback to others for continuous quality improvement of the entire organization.

Requirements and Specifications

• Two to Three years of experience processing skilled nursing medical claims with third parties including Medicare, Managed Care and Insurance Companies with track record of successful collections.
• One or more years of experience working in a high-volume, short-term rehab environment.
• Knowledge of billing and related software preferred and/or experience with similar software.
• Proficiency with Microsoft Office and ability to learn company IT systems.

Benefits

This is a remote position that offers flexibility and convenience. The successful candidate will be able to work independently and as part of a team, with discretion and judgment.

Other Information

Industry standards apply depending on work experience and level of expertise.

This is a US Eastern Standard Time (EST) based position, Monday to Friday, 9 am to 6 pm.

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